| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,352.93 | $5,563.64 | $7,343.96 | |
Aetna
| Professional | $3,785.51 | $5,160.84 | $16,190.11 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 | |
Medica
| Facility | $100.00 | $100.00 | $7,741.26 |