| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.62 | $588.62 | $706.34 | |
Aetna
| Professional | $588.62 | $588.62 | $588.62 | |
Cigna
| Professional | $781.33 | $781.33 | $781.33 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |