| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,940.21 | $6,547.95 | $7,071.68 | |
Cigna
| Facility | $7,860.06 | $7,860.06 | $7,860.06 | |
Cigna
| Professional | $935.99 | $6,681.05 | $7,860.06 | |
United
| Professional | $2,376.05 | $3,564.08 | $5,118.30 |