| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $436.52 | $1,071.52 | $1,995.26 | |
BCBS
| Professional | $218.78 | $218.78 | $218.78 | |
Cigna
| Professional | $645.65 | $645.65 | $645.65 | |
Molina
| Professional | $19.95 | $25.12 | $70.79 |