| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.26 | $7.26 | $17.50 | |
Cigna
| Professional | $119.58 | $119.58 | $150.37 | |
Medica
| Facility | $7.26 | $7.26 | $7.26 | |
Medica
| Professional | $510,000.00 | $510,000.00 | $510,000.00 |