| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $986.69 | $1,026.01 | $1,162.74 | |
Cigna
| Facility | $1,654.54 | $1,654.54 | $1,654.54 | |
Cigna
| Professional | $1,207.81 | $1,207.81 | $1,654.54 | |
United
| Professional | $1,123.00 | $1,249.33 | $1,873.54 |