| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.47 | $836.47 | $1,032.19 | |
Aetna
| Professional | $691.23 | $836.47 | $1,032.19 | |
Cigna
| Professional | $646.13 | $646.13 | $807.66 | |
Medica
| Facility | $988.46 | $1,413.63 | $1,893.97 |