| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
BCBS
| Professional | $66.07 | $83.18 | $102.33 | |
Cigna
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $114.82 | $114.82 | $141.25 | |
Molina
| Professional | $30.20 | $30.20 | $70.79 |