| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,549.03 | $1,549.03 | $1,776.68 | |
Cigna
| Facility | $2,326.75 | $2,326.75 | $2,326.75 | |
Cigna
| Professional | $1,698.53 | $1,698.53 | $2,326.75 | |
United
| Professional | $1,423.90 | $1,877.77 | $2,828.58 |