| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,888.71 | $9,483.69 | $52,983.12 | |
Aetna
| Professional | $3,859.17 | $5,231.70 | $9,251.04 | |
Cigna
| Professional | $1,326.50 | $1,326.50 | $1,326.50 | |
Medica
| Facility | $1,767.15 | $5,311.06 | $8,610.83 |