| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,052.89 | $1,052.89 | $1,052.89 | |
Cigna
| Facility | $1,052.89 | $1,052.89 | $1,052.89 | |
Cigna
| Professional | $1,052.89 | $1,052.89 | $1,052.89 | |
United
| Professional | $847.68 | $1,052.89 | $1,706.50 |