| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $998.11 | $1,050.71 | $1,131.10 | |
Cigna
| Facility | $1,769.38 | $1,769.38 | $1,769.38 | |
Cigna
| Professional | $1,291.65 | $1,291.65 | $1,769.38 | |
United
| Professional | $1,092.46 | $1,275.81 | $1,851.53 |