| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $874.95 | $2,070.48 | $3,559.80 | |
Aetna
| Professional | $292.88 | $402.32 | $3,306.43 | |
AmeriHealth
| Facility | $4,019.44 | $35,947.73 | $57,980.21 | |
Cigna
| Professional | $1,054.93 | $1,054.93 | $1,054.93 |