| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $960.05 | $1,010.64 | $1,087.98 | |
Cigna
| Facility | $1,823.10 | $1,823.10 | $1,823.10 | |
Cigna
| Professional | $1,330.86 | $1,330.86 | $1,823.10 | |
United
| Professional | $775.86 | $1,169.02 | $4,267.22 |