| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,268.63 | $4,696.16 | $5,081.70 | |
Cigna
| Facility | $4,775.22 | $4,775.22 | $4,775.22 | |
Cigna
| Professional | $671.53 | $4,058.94 | $4,775.22 | |
United
| Professional | $2,880.86 | $3,840.72 | $4,841.78 |