| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,532.62 | $3,619.82 | $4,003.36 | |
Cigna
| Facility | $4,751.45 | $4,751.45 | $4,751.45 | |
Cigna
| Professional | $4,038.73 | $4,038.73 | $4,751.45 | |
United
| Professional | $3,866.58 | $5,160.60 | $6,450.75 |