| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9,604.60 | $10,589.09 | $11,434.05 | |
Cigna
| Facility | $10,694.63 | $10,694.63 | $10,694.63 | |
Cigna
| Professional | $1,292.04 | $9,090.44 | $10,694.63 | |
United
| Professional | $3,860.43 | $5,790.64 | $7,748.26 |