| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.87 | $237.75 | $387.00 | |
Aetna
| Professional | $117.95 | $237.75 | $447.24 | |
Anthem BCBS
| Professional | $14.93 | $19.91 | $20.32 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Molina
| Professional | $45.00 | $45.00 | $100.00 |