| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.43 | $137.69 | $496.00 | |
Cigna
| Facility | $228.57 | $228.57 | $228.57 | |
Cigna
| Professional | $99.89 | $99.89 | $99.89 | |
Wellpoint
| Professional | $2,500.00 | $2,500.00 | $3,250.00 |