| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,376.71 | $1,491.52 | $1,690.27 | |
Cigna
| Facility | $2,476.09 | $2,476.09 | $2,476.09 | |
Cigna
| Professional | $1,807.55 | $1,807.55 | $2,476.09 | |
United
| Professional | $1,632.52 | $1,937.26 | $2,723.58 |