| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,584.89 | $1,584.89 | $1,659.59 | |
Cigna
| Facility | $1,513.56 | $1,513.56 | $1,819.70 | |
Cigna
| Professional | $1,584.89 | $1,584.89 | $1,584.89 | |
United
| Professional | $125.89 | $2,398.83 | $2,511.89 |