| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $123.03 | $125.89 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $0.05 | $0.09 | $0.13 | |
Cigna
| Professional | $0.04 | $0.05 | $0.09 | |
Molina
| Professional | $50.12 | $50.12 | $85.11 |