| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,515.07 | $2,665.44 | $2,850.22 | |
Cigna
| Facility | $4,728.96 | $4,728.96 | $4,728.96 | |
Cigna
| Professional | $3,452.14 | $3,452.14 | $4,728.96 | |
United
| Professional | $2,752.82 | $3,444.47 | $11,179.04 |