| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,817.60 | $6,181.20 | $6,181.20 | |
Cigna
| Facility | $5,566.32 | $5,566.32 | $5,566.32 | |
Cigna
| Professional | $6,181.20 | $6,181.20 | $6,181.20 | |
United
| Professional | $6,060.00 | $6,423.60 | $9,090.00 |