| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.93 | $22.64 | $28.76 | |
Aetna
| Professional | $16.44 | $22.64 | $25.89 | |
BCBS
| Facility | $53.90 | $53.90 | $53.90 | |
BCBS
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Facility | $31.66 | $31.66 | $31.66 | |
Molina
| Professional | $25.00 | $42.50 | $68.00 | |
United
| Facility | $721.00 | $1,369.00 | $5,253.00 | |
United
| Professional | $19.94 | $27.06 | $62.11 |