| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.00 | $2,514.00 | $2,514.00 | |
Cigna
| Facility | $721.00 | $721.00 | $721.00 |
Specialty Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.00 | $2,514.00 | $2,514.00 | |
Cigna
| Facility | $721.00 | $721.00 | $721.00 |