| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,562.22 | $4,695.89 | $5,321.65 | |
Cigna
| Facility | $8,136.27 | $8,136.27 | $8,136.27 | |
Cigna
| Professional | $5,939.48 | $5,939.48 | $8,136.27 | |
United
| Professional | $5,139.80 | $6,099.24 | $8,574.91 |