| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,069.63 | $1,225.61 | $1,525.81 | |
Cigna
| Facility | $2,160.00 | $2,160.00 | $2,160.00 | |
Cigna
| Professional | $1,836.00 | $2,160.00 | $2,160.00 | |
United
| Professional | $947.43 | $1,541.65 | $2,569.42 |