| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,604.99 | $5,067.43 | $5,482.13 | |
Cigna
| Facility | $5,470.13 | $5,470.13 | $5,470.13 | |
Cigna
| Professional | $651.96 | $4,649.60 | $5,470.13 | |
United
| Professional | $1,842.59 | $2,763.88 | $4,639.28 |