| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,278.71 | $1,346.10 | $1,449.11 | |
Cigna
| Facility | $2,479.82 | $2,479.82 | $2,479.82 | |
Cigna
| Professional | $1,810.27 | $1,810.27 | $2,479.82 | |
United
| Professional | $1,399.60 | $1,660.86 | $2,583.48 |