| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.94 | $360.18 | $678.27 | |
Aetna
| Professional | $177.10 | $490.86 | $490.86 | |
Cigna
| Facility | $166.98 | $359.94 | $406.38 | |
Molina
| Professional | $75.75 | $110.23 | $174.46 | |
Wellpoint
| Professional | $86.09 | $86.09 | $86.09 |