| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.41 | $997.58 | $3,484.62 | |
Aetna
| Professional | $75.00 | $77.84 | $3,798.96 | |
Cigna
| Professional | $52.64 | $52.64 | $52.64 | |
Wellpoint
| Professional | $90.00 | $90.00 | $90.00 |