| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,046.49 | $2,321.33 | $2,436.30 | |
Cigna
| Facility | $2,416.31 | $2,416.31 | $2,416.31 | |
Cigna
| Professional | $288.01 | $2,053.86 | $2,416.31 | |
United
| Professional | $819.07 | $1,306.41 | $2,386.46 |