| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,698.05 | $2,698.05 | $3,264.64 | |
Cigna
| Facility | $2,791.04 | $2,791.04 | $2,791.04 | |
Cigna
| Professional | $2,698.05 | $2,698.05 | $2,698.05 | |
United
| Professional | $2,698.05 | $2,859.93 | $5,935.71 |