| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,860.78 | $4,013.91 | $4,375.25 | |
Cigna
| Facility | $6,553.03 | $6,553.03 | $6,553.03 | |
Cigna
| Professional | $4,783.71 | $4,783.71 | $6,553.03 | |
United
| Professional | $4,225.74 | $5,014.55 | $7,800.22 |