| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,431.74 | $1,578.48 | $1,704.45 | |
Cigna
| Facility | $192.60 | $192.60 | $1,436.52 | |
Cigna
| Professional | $1,221.04 | $1,221.04 | $1,221.04 | |
United
| Professional | $743.58 | $1,115.38 | $1,393.07 |