| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,544.80 | $1,544.80 | $1,544.80 | |
Aetna
| Professional | $560.00 | $1,033.58 | $1,033.58 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $520.86 | $520.86 | $520.86 |