| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $32.36 | $33.88 | $33.88 | |
BCBS
| Professional | $575.44 | $575.44 | $575.44 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |