| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $117.49 | $173.78 | |
Aetna
| Professional | $114.82 | $120.23 | $144.54 | |
BCBS
| Facility | $67.61 | $67.61 | $75.86 | |
Cigna
| Professional | $58.88 | $58.88 | $58.88 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |