| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.09 | $430.60 | $471.60 | |
Aetna
| Professional | $395.27 | $430.60 | $440.98 | |
Cigna
| Facility | $419.98 | $440.98 | $440.98 | |
Cigna
| Professional | $440.98 | $440.98 | $440.98 | |
Wellpoint
| Professional | $411.74 | $411.74 | $411.74 |