| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.77 | $163.77 | $490.00 | |
Aetna
| Professional | $111.51 | $157.11 | $166.35 | |
Anthem BCBS
| Professional | $327.25 | $431.20 | $650.49 | |
Cigna
| Professional | $163.40 | $163.40 | $163.40 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |