| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,488.36 | $3,488.36 | $3,953.21 | |
Cigna
| Facility | $6,042.00 | $6,042.00 | $6,042.00 | |
Cigna
| Professional | $4,410.66 | $4,410.66 | $6,042.00 | |
United
| Professional | $3,818.12 | $4,530.85 | $6,862.77 |