| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,809.25 | $1,824.40 | $2,050.34 | |
Cigna
| Facility | $3,364.97 | $3,364.97 | $3,364.97 | |
Cigna
| Professional | $2,456.42 | $2,456.42 | $3,364.97 | |
United
| Professional | $1,980.28 | $2,203.07 | $3,303.77 |