| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $2,398.83 | |
Aetna
| Professional | $95.50 | $2,398.83 | $2,398.83 | |
Anthem BCBS
| Professional | $102.33 | $117.49 | $117.49 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 |