| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9,072.95 | $10,002.96 | $10,801.13 | |
Cigna
| Facility | $10,102.62 | $10,102.62 | $10,102.62 | |
Cigna
| Professional | $1,220.52 | $8,587.24 | $10,102.62 | |
United
| Professional | $3,502.05 | $5,470.12 | $6,393.98 |