| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $37.15 | $37.15 | $37.15 | |
BCBS
| Professional | $37.15 | $37.15 | $37.15 | |
Cigna
| Professional | $26.30 | $26.30 | $32.36 | |
Molina
| Professional | $19.95 | $19.95 | $19.95 | |
United
| Facility | $21.38 | $21.38 | $28.84 |