| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,028.55 | $1,092.83 | $1,092.83 | |
Cigna
| Facility | $1,092.83 | $1,092.83 | $1,092.83 | |
Cigna
| Professional | $1,092.83 | $1,092.83 | $1,092.83 | |
United
| Professional | $1,071.41 | $1,135.69 | $1,607.12 |