| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.44 | $3.44 | $59,029.00 | |
Aetna
| Professional | $3.44 | $3.44 | $125.79 | |
Cigna
| Facility | $64.00 | $83.76 | $99.71 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
United
| Facility | $93.04 | $96.62 | $96.62 | |
Wellpoint
| Professional | $13.34 | $13.34 | $13.34 |