| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $32.36 | $58,884.37 | |
Aetna
| Professional | $26.92 | $26.92 | $32.36 | |
Cigna
| Facility | $37.15 | $37.15 | $43.65 | |
United
| Facility | $28.18 | $30.20 | $43.65 | |
Wellpoint
| Professional | $13.49 | $13.49 | $13.49 |