| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.23 | $18.92 | $1,906.60 | |
Aetna
| Professional | $18.23 | $18.92 | $19.38 | |
Cigna
| Facility | $19.38 | $19.38 | $19.38 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Wellpoint
| Professional | $19.00 | $19.00 | $19.00 |