| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,372.05 | $4,372.05 | $8,884.10 | |
Cigna
| Facility | $7,551.49 | $7,551.49 | $7,551.49 | |
Cigna
| Professional | $6,418.77 | $6,418.77 | $7,551.49 | |
United
| Professional | $5,558.95 | $8,371.21 | $14,272.59 |