| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.39 | $19.27 | $19.27 | |
Anthem BCBS
| Professional | $17.00 | $20.00 | $20.89 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $68.79 | $68.79 | $68.79 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |