| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.00 | $80.00 | $80.00 | |
Aetna
| Professional | $80.00 | $80.00 | $97.00 | |
Cigna
| Facility | $94.60 | $94.60 | $94.60 | |
Cigna
| Professional | $69.06 | $94.60 | $97.44 | |
Molina
| Professional | $45.00 | $45.00 | $219.23 |