| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.00 | $825.00 | $8,500.00 | |
Aetna
| Professional | $825.00 | $825.00 | $825.00 | |
Cigna
| Professional | $1,127.83 | $1,826.53 | $2,358.69 | |
Medica
| Facility | $825.00 | $825.00 | $2,475.00 |