| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,700.40 | $1,757.14 | $1,757.14 | |
Cigna
| Facility | $2,569.13 | $2,569.13 | $2,569.13 | |
Cigna
| Professional | $2,183.76 | $2,183.76 | $2,183.76 | |
United
| Professional | $136.66 | $229.67 | $417.98 |