| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,427.45 | $1,427.45 | $1,427.45 | |
Cigna
| Facility | $1,427.45 | $1,427.45 | $1,427.45 | |
Cigna
| Professional | $1,427.45 | $1,427.45 | $1,427.45 | |
United
| Professional | $1,400.82 | $1,427.45 | $3,140.39 |