| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.81 | $2.81 | $2.81 | |
Aetna
| Professional | $2.81 | $2.81 | $2.81 | |
Anthem BCBS
| Professional | $56.00 | $120.00 | $120.00 | |
Cigna
| Facility | $78.88 | $78.88 | $78.88 | |
Cigna
| Professional | $78.23 | $99.00 | $99.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |