| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,262.37 | $4,625.13 | $4,830.35 | |
Cigna
| Facility | $7,503.37 | $7,503.37 | $7,503.37 | |
Cigna
| Professional | $5,477.46 | $5,477.46 | $7,503.37 | |
United
| Professional | $4,665.31 | $5,448.30 | $7,783.29 |