| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $48.98 | $50.12 | |
Cigna
| Facility | $1,288.25 | $1,288.25 | $1,288.25 | |
Cigna
| Professional | $1,096.48 | $1,288.25 | $1,288.25 | |
United
| Professional | $34.67 | $39.81 | $60.26 | |
Wellpoint
| Professional | $870.96 | $870.96 | $870.96 |