| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,867.43 | $3,867.43 | $6,124.80 | |
Cigna
| Facility | $2,288.00 | $2,654.08 | $6,314.88 | |
Cigna
| Professional | $29.08 | $4,044.92 | $5,056.14 | |
United
| Facility | $3,168.00 | $3,168.00 | $3,168.00 | |
United
| Professional | $1,478.40 | $2,112.00 | $3,520.00 |