| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,497.32 | $3,848.63 | $4,163.47 | |
Cigna
| Facility | $4,124.25 | $4,124.25 | $4,124.25 | |
Cigna
| Professional | $491.56 | $3,505.61 | $4,124.25 | |
United
| Professional | $1,862.60 | $2,099.16 | $4,378.28 |