| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,134.44 | $2,134.44 | $3,874.50 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 | |
Hally Health
| Professional | $150.00 | $150.00 | $275.00 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |