| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,674.92 | $3,674.92 | $5,074.88 | |
Cigna
| Facility | $1,895.79 | $2,199.12 | $5,232.38 | |
United
| Facility | $2,624.94 | $2,624.94 | $2,624.94 | |
United
| Professional | $1,224.97 | $1,749.96 | $2,916.60 |