| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.19 | $26.95 | $55.32 | |
Aetna
| Professional | $23.49 | $40.25 | $55.32 | |
BCBS
| Professional | $22.00 | $22.00 | $22.00 | |
Cigna
| Professional | $22.51 | $38.99 | $56.79 | |
Molina
| Professional | $8.33 | $32.34 | $32.34 | |
United
| Professional | $41.17 | $60.32 | $104.20 |