| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,251.00 | $2,597.32 | $3,127.30 | |
Cigna
| Facility | $5,106.14 | $5,106.14 | $5,106.14 | |
Cigna
| Professional | $4,340.22 | $5,106.14 | $5,106.14 | |
United
| Professional | $1,946.48 | $2,394.76 | $3,683.80 |