| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,520.59 | $4,951.17 | $13,895.00 | |
Aetna
| Professional | $961.89 | $3,859.17 | $9,251.04 | |
AmeriHealth
| Facility | $15,834.39 | $65,514.24 | $129,043.20 | |
Cigna
| Professional | $1,326.50 | $1,326.50 | $1,326.50 |