| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.72 | $96.72 | $96.72 | |
Aetna
| Professional | $96.72 | $96.72 | $96.72 | |
BCBS
| Facility | $114.45 | $114.45 | $125.90 | |
Cigna
| Professional | $58.65 | $58.65 | $80.84 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |