| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,263.82 | $1,371.38 | $1,509.56 | |
Cigna
| Facility | $2,571.77 | $2,571.77 | $2,571.77 | |
Cigna
| Professional | $1,877.39 | $1,877.39 | $2,571.77 | |
United
| Professional | $1,383.29 | $1,532.03 | $2,307.80 |