| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,193.47 | $5,703.00 | $9,463.79 | |
Aetna
| Professional | $182.15 | $1,935.00 | $35,325.00 | |
Cigna
| Facility | $269.89 | $269.89 | $269.89 | |
Cigna
| Professional | $269.89 | $269.89 | $269.89 |