| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,562.92 | $2,697.98 | $2,904.45 | |
Cigna
| Facility | $4,366.38 | $4,366.38 | $4,366.38 | |
Cigna
| Professional | $3,187.46 | $3,187.46 | $4,366.38 | |
United
| Professional | $2,805.20 | $3,328.84 | $5,178.07 |