| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.62 | $2,000.62 | $2,000.62 | |
Aetna
| Professional | $1,809.82 | $2,000.62 | $2,807.93 | |
Cigna
| Professional | $2,349.75 | $2,937.19 | $2,984.18 | |
Medica
| Facility | $1,803.02 | $2,018.05 | $3,408.22 |