| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,102.77 | $1,196.61 | $1,249.72 | |
Cigna
| Facility | $2,283.76 | $2,283.76 | $2,283.76 | |
Cigna
| Professional | $1,667.14 | $1,667.14 | $2,283.76 | |
United
| Professional | $1,207.01 | $1,432.32 | $2,013.70 |