| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,130.63 | $4,479.20 | $4,681.06 | |
Cigna
| Facility | $6,652.12 | $6,652.12 | $6,652.12 | |
Cigna
| Professional | $4,856.05 | $4,856.05 | $6,652.12 | |
United
| Professional | $4,521.10 | $5,365.04 | $8,345.42 |