| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,128.02 | $4,128.02 | $4,991.92 | |
Cigna
| Facility | $4,189.12 | $4,189.12 | $4,189.12 | |
Cigna
| Professional | $4,128.02 | $4,128.02 | $4,128.02 | |
United
| Professional | $3,843.39 | $4,375.70 | $6,192.03 |