| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,534.00 | $2,117.75 | $2,441.83 | |
Aetna
| Professional | $250.00 | $609.00 | $2,441.83 | |
Cigna
| Facility | $650.00 | $1,054.52 | $1,517.43 | |
Cigna
| Professional | $725.00 | $725.00 | $725.00 |