| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,823.09 | $2,088.96 | $2,600.51 | |
Cigna
| Facility | $3,655.97 | $3,655.97 | $3,655.97 | |
Cigna
| Professional | $3,107.57 | $3,655.97 | $3,655.97 | |
United
| Professional | $1,296.44 | $1,970.74 | $3,284.56 |