| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,202.26 | $1,258.93 | $1,258.93 | |
Cigna
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Cigna
| Professional | $1,258.93 | $1,258.93 | $1,258.93 | |
United
| Professional | $1,148.15 | $1,258.93 | $1,479.11 |