| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,092.25 | $1,092.25 | $1,092.25 | |
Aetna
| Professional | $318.75 | $425.00 | $425.00 | |
Cigna
| Facility | $659.16 | $659.16 | $659.16 | |
Cigna
| Professional | $1,471.54 | $1,471.54 | $1,471.54 |