| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,135.01 | $4,270.32 | $4,686.02 | |
Cigna
| Facility | $7,957.05 | $7,957.05 | $7,957.05 | |
Cigna
| Professional | $6,763.49 | $6,763.49 | $7,957.05 | |
United
| Professional | $4,525.89 | $5,012.56 | $7,550.71 |