| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,517.66 | $1,590.25 | $1,802.16 | |
Cigna
| Facility | $2,782.58 | $2,782.58 | $2,782.58 | |
Cigna
| Professional | $2,031.28 | $2,031.28 | $2,031.28 | |
United
| Professional | $1,740.58 | $2,032.71 | $2,903.87 |