| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,431.23 | $3,948.06 | $4,084.80 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $200.00 | $3,344.98 | $3,344.98 | |
United
| Professional | $1,793.14 | $2,689.72 | $5,142.10 |