| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $186.21 | $186.21 | |
Aetna
| Professional | $125.89 | $181.97 | $223.87 | |
Anthem BCBS
| Professional | $81.28 | $81.28 | $100.00 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 |