| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,266.61 | $2,597.16 | $3,233.12 | |
Cigna
| Facility | $3,685.49 | $3,685.49 | $3,685.49 | |
Cigna
| Professional | $3,132.67 | $3,685.49 | $3,685.49 | |
United
| Professional | $205.41 | $337.88 | $2,417.69 |