| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,548.13 | $3,548.13 | $6,165.95 | |
Aetna
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
Cigna
| Professional | $1,174.90 | $1,174.90 | $1,479.11 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 |