| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,320.00 | $2,825.00 | |
BCBS
| Facility | $57.32 | $57.32 | $57.32 | |
Cigna
| Facility | $91.07 | $91.07 | $91.07 | |
Cigna
| Professional | $32.88 | $32.88 | $32.88 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |