| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.25 | $30.54 | $172.00 | |
Aetna
| Professional | $17.87 | $30.54 | $72.98 | |
Anthem BCBS
| Professional | $13.31 | $17.75 | $18.05 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $150.94 | $150.94 | $150.94 | |
Molina
| Professional | $45.00 | $45.00 | $100.00 |