| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,965.36 | $3,217.73 | $3,821.53 | |
Cigna
| Facility | $4,938.58 | $4,938.58 | $4,938.58 | |
Cigna
| Professional | $3,605.16 | $3,605.16 | $4,938.58 | |
United
| Professional | $3,245.68 | $3,867.77 | $13,180.49 |