| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $943.06 | $1,023.33 | $1,321.88 | |
Cigna
| Facility | $1,665.63 | $1,665.63 | $1,665.63 | |
Cigna
| Professional | $1,215.91 | $1,215.91 | $1,665.63 | |
United
| Professional | $1,032.21 | $1,224.89 | $1,722.07 |