| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,855.86 | $4,096.85 | $4,096.85 | |
Cigna
| Facility | $4,819.82 | $4,819.82 | $4,819.82 | |
Cigna
| Professional | $4,819.82 | $4,819.82 | $4,819.82 | |
United
| Professional | $4,831.39 | $6,025.04 | $8,526.00 |