| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,912.49 | $4,219.39 | $4,700.25 | |
Cigna
| Facility | $5,106.14 | $5,106.14 | $5,106.14 | |
Cigna
| Professional | $616.89 | $4,340.22 | $5,106.14 | |
United
| Professional | $1,586.93 | $2,380.40 | $4,153.50 |