| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,608.16 | $2,608.16 | $3,078.11 | |
Cigna
| Facility | $2,869.16 | $2,869.16 | $2,869.16 | |
Cigna
| Professional | $2,608.16 | $2,608.16 | $2,608.16 | |
United
| Professional | $2,608.16 | $2,764.65 | $3,912.24 |