| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.25 | $24.17 | $86.07 | |
Aetna
| Professional | $16.17 | $28.57 | $86.07 | |
BCBS
| Professional | $33.00 | $33.00 | $33.00 | |
Cigna
| Professional | $9.00 | $32.11 | $52.65 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $25.09 | $37.09 | $68.64 |