| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.78 | $44.39 | $117.12 | |
Aetna
| Professional | $42.78 | $44.39 | $45.46 | |
Cigna
| Facility | $45.46 | $45.46 | $45.46 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 | |
Wellpoint
| Professional | $44.57 | $44.57 | $44.57 |