| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $834.96 | $6,297.48 | $8,918.54 | |
Aetna
| Professional | $402.32 | $402.32 | $402.32 | |
Cigna
| Professional | $1,054.93 | $1,054.93 | $1,054.93 | |
Wellpoint
| Professional | $40.01 | $40.01 | $40.01 |