| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,772.04 | $1,772.04 | $2,516.05 | |
Aetna
| Professional | $1,145.06 | $1,145.06 | $1,409.05 | |
Cigna
| Professional | $520.86 | $520.86 | $520.86 | |
Hally Health
| Professional | $150.00 | $1,082.35 | $1,082.35 | |
Medica
| Facility | $1,002.40 | $1,145.06 | $2,028.99 |