| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $34.67 | $34.67 | |
BCBS
| Professional | $2,398.83 | $2,398.83 | $2,398.83 | |
Cigna
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
Molina
| Professional | $19.95 | $25.12 | $67.61 |