| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.92 | $8,155.92 | $9,908.54 | |
Aetna
| Professional | $3,859.17 | $3,918.51 | $9,251.04 | |
Cigna
| Professional | $1,326.50 | $1,326.50 | $1,326.50 | |
Wellpoint
| Professional | $40.01 | $40.01 | $40.01 |