| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,471.43 | $1,618.88 | $1,751.71 | |
Cigna
| Facility | $2,217.64 | $2,217.64 | $2,217.64 | |
Cigna
| Professional | $1,884.99 | $1,884.99 | $2,269.14 | |
United
| Professional | $882.71 | $1,324.07 | $1,779.79 |