| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,762.80 | $3,762.80 | $3,762.80 | |
Cigna
| Facility | $5,687.89 | $5,687.89 | $5,687.89 | |
Cigna
| Professional | $5,687.89 | $5,687.89 | $8,359.32 | |
United
| Professional | $4,729.21 | $6,881.68 | $7,599.38 |