| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $5.00 | $5.00 | $5.00 | |
Anthem BCBS
| Professional | $71.00 | $376.00 | $376.00 | |
Cigna
| Facility | $70.15 | $70.15 | $70.15 | |
Cigna
| Professional | $31.24 | $31.24 | $183.04 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |