| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,640.51 | $1,640.51 | $1,640.51 | |
Aetna
| Professional | $1,382.76 | $1,604.90 | $2,235.87 | |
Cigna
| Professional | $1,977.00 | $2,471.25 | $2,510.79 | |
Medica
| Facility | $1,382.76 | $1,695.36 | $2,772.46 |