| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.49 | $50.49 | $50.49 | |
Aetna
| Professional | $50.49 | $50.49 | $55.53 | |
BCBS
| Facility | $67.89 | $67.89 | $67.89 | |
BCBS
| Professional | $32.00 | $32.00 | $32.00 | |
Cigna
| Facility | $31.45 | $34.03 | $56.66 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |