| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,976.64 | $5,185.60 | $5,639.81 | |
Cigna
| Facility | $8,121.18 | $8,121.18 | $8,121.18 | |
Cigna
| Professional | $5,928.46 | $5,928.46 | $5,928.46 | |
United
| Professional | $5,447.10 | $6,463.90 | $22,120.32 |