| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $48.30 | $48.30 | $53.13 | |
BCBS
| Professional | $46.00 | $46.00 | $46.00 | |
Cigna
| Facility | $34.92 | $34.92 | $34.92 | |
Cigna
| Professional | $5.25 | $5.25 | $39.32 | |
Molina
| Professional | $20.00 | $20.00 | $25.00 |