| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.00 | $35.00 | $35.00 | |
BCBS
| Professional | $2,400.00 | $2,400.00 | $2,400.00 | |
Cigna
| Professional | $2,250.00 | $2,250.00 | $2,250.00 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |