| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.80 | $98.40 | $523.60 | |
Aetna
| Professional | $102.14 | $102.14 | $133.88 | |
BCBS
| Professional | $124.00 | $124.00 | $124.00 | |
Cigna
| Professional | $119.90 | $119.90 | $135.44 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |