| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.35 | $37.52 | $59,029.00 | |
Aetna
| Professional | $27.78 | $37.52 | $65.91 | |
Cigna
| Facility | $38.89 | $38.89 | $64.00 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
Wellpoint
| Professional | $3.84 | $3.84 | $3.84 |