| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.05 | $232.96 | $232.96 | |
BCBS
| Professional | $123.00 | $123.00 | $123.00 | |
Cigna
| Professional | $681.46 | $681.46 | $681.46 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |