| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8,121.26 | $8,628.84 | $8,628.84 | |
Cigna
| Facility | $8,304.94 | $8,304.94 | $8,304.94 | |
Cigna
| Professional | $8,628.84 | $8,628.84 | $8,628.84 | |
United
| Professional | $8,459.66 | $8,967.24 | $12,689.49 |