| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,323.35 | $1,323.35 | $1,665.92 | |
Cigna
| Facility | $1,462.15 | $1,462.15 | $1,462.15 | |
Cigna
| Professional | $1,323.35 | $1,323.35 | $1,323.35 | |
United
| Professional | $1,323.35 | $1,402.75 | $1,985.03 |