| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.00 | $1,700.00 | $2,235.00 | |
Aetna
| Professional | $250.00 | $425.00 | $475.00 | |
Cigna
| Facility | $64.00 | $129.86 | $485.55 | |
Cigna
| Professional | $312.33 | $772.33 | $772.33 | |
Wellpoint
| Professional | $16.00 | $16.00 | $16.00 |