| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $87.09 | |
Aetna
| Professional | $28.96 | $28.97 | $38.00 | |
BCBS
| Facility | $20.14 | $20.14 | $22.17 | |
Cigna
| Facility | $31.94 | $31.94 | $31.94 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
Molina
| Professional | $20.00 | $27.52 | $30.58 | |
United
| Professional | $32.38 | $34.08 | $37.32 |