| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.62 | $766.55 | $5,394.41 | |
Aetna
| Professional | $3.46 | $269.62 | $424.92 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 | |
Wellpoint
| Professional | $1,807.00 | $1,807.00 | $1,807.00 |