| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,922.31 | $13,144.38 | $14,193.23 | |
Cigna
| Facility | $13,275.38 | $13,275.38 | $13,275.38 | |
Cigna
| Professional | $1,603.83 | $11,284.07 | $13,275.38 | |
United
| Professional | $4,601.85 | $7,188.04 | $9,845.81 |