| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.15 | $67.15 | $67.15 | |
Aetna
| Professional | $58.88 | $67.15 | $163.55 | |
Anthem BCBS
| Professional | $28.32 | $35.40 | $40.50 | |
Cigna
| Facility | $30.72 | $30.72 | $64.00 | |
Cigna
| Professional | $26.11 | $30.72 | $31.64 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 |