| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,496.44 | $2,708.91 | $2,829.11 | |
Cigna
| Facility | $3,790.37 | $3,790.37 | $3,790.37 | |
Cigna
| Professional | $2,766.97 | $2,766.97 | $3,790.37 | |
United
| Professional | $2,732.44 | $3,026.25 | $4,558.62 |