| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $2,187.76 | $3,548.13 | |
Aetna
| Professional | $512.86 | $512.86 | $912.01 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
Medica
| Facility | $218.78 | $1,258.93 | $3,467.37 |