| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $10.59 | $10.59 | |
Anthem BCBS
| Professional | $12.75 | $15.00 | $15.00 | |
Cigna
| Facility | $14.71 | $14.71 | $14.71 | |
Cigna
| Professional | $2.49 | $4.83 | $4.83 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |