| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.17 | $15.17 | $15.17 | |
Aetna
| Professional | $13.95 | $15.17 | $15.17 | |
BCBS
| Professional | $10.42 | $10.42 | $13.66 | |
Cigna
| Facility | $16.64 | $16.64 | $16.64 | |
Cigna
| Professional | $16.64 | $16.64 | $16.64 | |
Medcost
| Facility | $15.17 | $17.52 | $20.48 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $15.32 | $17.62 | $23.60 |