| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,765.43 | $1,765.43 | $2,000.68 | |
Cigna
| Facility | $2,550.04 | $2,550.04 | $2,550.04 | |
Cigna
| Professional | $1,861.53 | $1,861.53 | $2,550.04 | |
United
| Professional | $1,426.73 | $2,149.69 | $3,223.75 |