| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $34.49 | $34.49 | |
Aetna
| Professional | $20.00 | $34.49 | $34.49 | |
Anthem BCBS
| Professional | $19.32 | $22.73 | $27.15 | |
Cigna
| Facility | $69.03 | $69.03 | $69.03 | |
Cigna
| Professional | $2.02 | $2.02 | $62.99 | |
Molina
| Professional | $3,000.00 | $3,000.00 | $3,000.00 |