| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,195.20 | $1,269.90 | $1,269.90 | |
Cigna
| Facility | $1,269.90 | $1,269.90 | $1,269.90 | |
Cigna
| Professional | $1,269.90 | $1,269.90 | $1,269.90 | |
United
| Professional | $1,182.75 | $1,245.00 | $2,739.00 |