| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,622.76 | $5,622.76 | $5,708.56 | |
Aetna
| Professional | $288.73 | $355.61 | $355.61 | |
Cigna
| Facility | $440.51 | $440.51 | $440.51 | |
Cigna
| Professional | $440.51 | $440.51 | $440.51 | |
United
| Professional | $520.75 | $520.75 | $520.75 |