| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,822.38 | $5,152.72 | $5,452.32 | |
Cigna
| Facility | $7,860.06 | $7,860.06 | $7,860.06 | |
Cigna
| Professional | $6,681.05 | $7,860.06 | $7,860.06 | |
United
| Professional | $2,718.14 | $4,615.88 | $7,893.16 |