| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $302.00 | |
Aetna
| Professional | $114.82 | $114.82 | $114.82 | |
BCBS
| Professional | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $41.69 | $79.43 | $79.43 | |
Molina
| Professional | $42.66 | $42.66 | $50.12 |