| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,313.95 | $1,489.14 | $2,807.93 | |
Aetna
| Professional | $1,489.14 | $1,848.63 | $2,807.93 | |
Cigna
| Professional | $2,349.75 | $2,490.73 | $2,984.18 | |
Medica
| Facility | $1,751.93 | $2,006.39 | $3,648.35 |