| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $33.15 | $38.25 | $45.00 | |
Cigna
| Facility | $36.99 | $36.99 | $36.99 | |
Cigna
| Professional | $65.00 | $65.00 | $65.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |