| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.13 | $8,132.01 | $8,132.01 | |
Aetna
| Professional | $68.13 | $68.13 | $88.72 | |
Cigna
| Professional | $35.29 | $35.29 | $35.29 | |
Wellpoint
| Professional | $2,500.00 | $2,500.00 | $3,250.00 |