| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,939.81 | $3,076.95 | $3,353.48 | |
Cigna
| Facility | $3,655.97 | $3,655.97 | $3,655.97 | |
Cigna
| Professional | $441.69 | $3,107.57 | $3,655.97 | |
United
| Professional | $1,278.76 | $2,091.10 | $3,864.69 |