| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,579.83 | $1,579.83 | $1,579.83 | |
Cigna
| Facility | $1,382.66 | $1,382.66 | $1,382.66 | |
Cigna
| Professional | $4,340.55 | $4,340.55 | $4,342.10 | |
United
| Professional | $62.64 | $225.51 | $1,263.85 |