| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,069.46 | $2,667.00 | $3,286.72 | |
Aetna
| Professional | $3,785.51 | $5,311.60 | $16,190.11 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |