| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,089.30 | $3,162.28 | $3,162.28 | |
Cigna
| Facility | $3,162.28 | $3,162.28 | $3,162.28 | |
Cigna
| Professional | $3,162.28 | $3,162.28 | $3,162.28 | |
United
| Professional | $125.89 | $2,570.40 | $3,235.94 |