| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,119.00 | $10,190.00 | $12,565.00 | |
Cigna
| Facility | $1,876.00 | $3,998.00 | $7,020.00 | |
Emblem Health
| Facility | $4,064.00 | $4,064.00 | $4,064.00 | |
United
| Facility | $1,194.00 | $3,952.00 | $9,756.00 |