| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.84 | $70.56 | $404.54 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $94.50 | $94.50 | $94.50 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $79.34 | $79.34 | $116.19 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |