| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $39.81 | |
Aetna
| Professional | $39.81 | $39.81 | $39.81 | |
Anthem BCBS
| Professional | $2.29 | $218.78 | $218.78 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
Molina
| Professional | $30.20 | $44.67 | $1,995.26 |