| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,145.06 | $2,489.52 | $2,718.05 | |
Aetna
| Professional | $773.54 | $773.54 | $1,233.07 | |
Cigna
| Professional | $520.86 | $520.86 | $520.86 | |
Medica
| Facility | $942.48 | $1,547.08 | $2,119.50 |