| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.31 | $30.31 | $30.31 | |
Aetna
| Professional | $22.40 | $26.66 | $49.12 | |
BCBS
| Professional | $66.00 | $66.00 | $66.00 | |
Cigna
| Professional | $18.94 | $23.80 | $38.25 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $22.77 | $28.80 | $46.38 |