| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.97 | $17.97 | $21.43 | |
BCBS
| Professional | $18.00 | $18.89 | $29.58 | |
Cigna
| Professional | $10.69 | $14.21 | $61.00 | |
Medcost
| Facility | $19.57 | $36.00 | $39.63 | |
Molina
| Professional | $12.67 | $12.67 | $12.67 | |
United
| Professional | $13.82 | $17.75 | $46.08 |