| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,073.80 | $5,128.61 | $22,908.68 | |
Cigna
| Facility | $8,128.31 | $8,128.31 | $8,128.31 | |
Cigna
| Professional | $5,888.44 | $5,888.44 | $5,888.44 | |
United
| Facility | $8.32 | $5,248.07 | $7,943.28 | |
United
| Professional | $5,128.61 | $6,165.95 | $8,511.38 |