| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $30.90 | $33.88 | $33.88 | |
Anthem BCBS
| Professional | $20.42 | $22.91 | $36.31 | |
Cigna
| Facility | $69.18 | $69.18 | $69.18 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Molina
| Professional | $1,995.26 | $1,995.26 | $1,995.26 |