| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $30.85 | $30.85 | |
Anthem BCBS
| Professional | $11.25 | $15.00 | $15.00 | |
Cigna
| Facility | $84.37 | $84.37 | $84.37 | |
Cigna
| Professional | $100.43 | $130.13 | $130.13 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |