| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $93.33 | $93.33 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $30.90 | $64.57 | $64.57 | |
Cigna
| Professional | $16.60 | $16.60 | $16.60 | |
Molina
| Professional | $44.67 | $44.67 | $60.26 |