| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,995.26 | $1,995.26 | $2,238.72 | |
Cigna
| Facility | $1,905.46 | $2,290.87 | $2,290.87 | |
Cigna
| Professional | $1,995.26 | $1,995.26 | $1,995.26 | |
United
| Professional | $1,905.46 | $1,995.26 | $2,238.72 |