| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $46.47 | $115.73 | |
Aetna
| Professional | $30.00 | $30.57 | $34.17 | |
BCBS
| Facility | $23.38 | $23.38 | $23.38 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Molina
| Professional | $20.00 | $29.05 | $32.28 | |
United
| Professional | $34.17 | $35.97 | $40.32 |