| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,037.51 | $7,596.62 | $16,830.00 | |
Aetna
| Professional | $3,859.17 | $5,231.70 | $9,251.04 | |
Cigna
| Professional | $1,326.50 | $1,326.50 | $1,326.50 | |
Medica
| Facility | $1,729.26 | $3,859.17 | $4,887.10 |