| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $38.02 | $81.28 | |
Aetna
| Professional | $32.36 | $33.88 | $89.13 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Molina
| Professional | $19.50 | $60.26 | $75.86 | |
Wellpoint
| Professional | $22.39 | $27.54 | $47.86 |