| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $977.24 | $1,096.48 | |
Aetna
| Professional | $575.44 | $616.60 | $616.60 | |
Anthem BCBS
| Professional | $501.19 | $501.19 | $501.19 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $741.31 | $741.31 | $741.31 | |
Molina
| Professional | $44.67 | $44.67 | $3,019.95 |