| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,119.00 | $3,804.00 | $7,823.00 | |
Cigna
| Facility | $920.77 | $1,168.00 | $1,931.00 | |
Emblem Health
| Facility | $4,064.00 | $4,064.00 | $4,064.00 | |
United
| Facility | $1,037.00 | $2,436.00 | $9,109.00 |