| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.68 | $20.87 | $68.23 | |
Aetna
| Professional | $13.68 | $30.32 | $104.15 | |
BCBS
| Professional | $46.00 | $46.00 | $46.00 | |
Cigna
| Professional | $9.00 | $28.55 | $46.07 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $21.76 | $32.25 | $59.53 |