| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,529.49 | $1,642.14 | $1,733.31 | |
Cigna
| Facility | $2,677.88 | $2,677.88 | $2,677.88 | |
Cigna
| Professional | $1,954.85 | $1,954.85 | $2,677.88 | |
United
| Professional | $1,674.08 | $1,986.58 | $6,798.33 |