| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,429.89 | $2,429.89 | $2,953.25 | |
Cigna
| Facility | $2,534.03 | $2,534.03 | $2,534.03 | |
Cigna
| Professional | $2,429.89 | $2,429.89 | $2,429.89 | |
United
| Professional | $2,429.89 | $2,575.67 | $3,093.40 |