| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,816.18 | $3,026.67 | $3,429.99 | |
Cigna
| Facility | $4,423.18 | $4,423.18 | $4,423.18 | |
Cigna
| Professional | $3,228.92 | $3,228.92 | $4,423.18 | |
United
| Professional | $3,312.79 | $3,843.96 | $5,526.84 |