| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,154.98 | $3,717.09 | $3,755.93 | |
Cigna
| Facility | $2,187.00 | $2,187.00 | $2,187.00 | |
Cigna
| Professional | $455.09 | $1,858.95 | $2,187.00 | |
United
| Professional | $1,262.77 | $2,048.86 | $3,569.25 |