| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,099.51 | $6,099.51 | $6,099.51 | |
Aetna
| Professional | $3,785.51 | $7,500.00 | $16,190.11 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |