| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.18 | $261.00 | $261.00 | |
Aetna
| Professional | $117.95 | $237.75 | $447.24 | |
Anthem BCBS
| Professional | $16.25 | $20.10 | $32.77 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |