| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $950.67 | $1,000.77 | $1,077.35 | |
Cigna
| Facility | $1,964.43 | $1,964.43 | $1,964.43 | |
Cigna
| Professional | $1,434.03 | $1,434.03 | $1,964.43 | |
United
| Professional | $1,040.54 | $1,234.78 | $1,763.53 |