| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.02 | $45.27 | $65.33 | |
Aetna
| Professional | $37.08 | $51.44 | $59.96 | |
BCBS
| Facility | $53.90 | $53.90 | $53.90 | |
BCBS
| Professional | $32.32 | $32.32 | $32.32 | |
Cigna
| Facility | $31.66 | $31.66 | $31.66 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Professional | $48.50 | $64.87 | $142.58 |