| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,951.21 | $2,951.21 | $3,162.28 | |
Cigna
| Facility | $2,951.21 | $2,951.21 | $2,951.21 | |
Cigna
| Professional | $2,951.21 | $2,951.21 | $2,951.21 | |
United
| Professional | $125.89 | $2,290.87 | $2,818.38 |