| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $16.98 | $28.18 | $50.12 | |
BCBS
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $20.42 | $36.31 | $87.10 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $16.22 | $28.18 | $64.57 |