| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.17 | $15.17 | $16.84 | |
Aetna
| Professional | $15.17 | $15.17 | $16.84 | |
BCBS
| Facility | $10.00 | $10.39 | $10.39 | |
Cigna
| Facility | $12.50 | $16.64 | $16.64 | |
Cigna
| Professional | $16.64 | $16.64 | $16.64 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $15.32 | $17.02 | $23.60 |