| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $35.48 | $35.48 | $35.48 | |
BCBS
| Professional | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $23.99 | $23.99 | $30.20 | |
Molina
| Professional | $19.95 | $19.95 | $19.95 | |
United
| Facility | $21.88 | $21.88 | $29.51 |