| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.00 | $2,398.00 | $2,453.46 | |
Aetna
| Professional | $2,398.00 | $2,398.00 | $4,856.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $5,965.41 | $5,965.41 | $5,965.41 |