| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,461.23 | $2,489.52 | $2,718.05 | |
Aetna
| Professional | $751.10 | $1,145.06 | $1,145.06 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $520.86 | $520.86 | $520.86 | |
Medica
| Facility | $751.10 | $1,145.06 | $1,935.15 |