| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,715.35 | $3,715.35 | $3,890.45 | |
Cigna
| Facility | $3,715.35 | $3,715.35 | $3,715.35 | |
Cigna
| Professional | $3,715.35 | $3,715.35 | $3,715.35 | |
United
| Professional | $125.89 | $2,691.53 | $3,090.30 |