| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $3,388.44 | $3,388.44 | |
Cigna
| Facility | $389.05 | $389.05 | $398.11 | |
Cigna
| Professional | $389.05 | $398.11 | $776.25 | |
Medica
| Facility | $398.11 | $501.19 | $851.14 | |
Medica
| Professional | $630.96 | $630.96 | $630.96 |