| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.90 | $118.90 | $174.00 | |
Aetna
| Professional | $116.00 | $123.25 | $174.00 | |
BCBS
| Facility | $68.25 | $68.25 | $75.08 | |
Cigna
| Professional | $59.00 | $59.00 | $59.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |