| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,443.98 | $1,443.98 | $1,636.40 | |
Cigna
| Facility | $2,117.90 | $2,117.90 | $2,117.90 | |
Cigna
| Professional | $1,546.07 | $1,546.07 | $1,546.07 | |
United
| Professional | $1,580.49 | $1,875.52 | $6,418.26 |