| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $811.21 | $2,397.12 | $5,037.21 | |
Aetna
| Professional | $507.78 | $744.10 | $744.10 | |
Cigna
| Professional | $489.34 | $489.34 | $489.34 | |
Medica
| Facility | $205.85 | $1,257.53 | $2,669.03 |