| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.13 | $68.13 | $88.72 | |
Aetna
| Professional | $68.13 | $68.13 | $91.87 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $1.00 | |
Cigna
| Facility | $69.23 | $69.23 | $69.23 | |
Cigna
| Professional | $35.29 | $35.29 | $69.70 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 |