| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.34 | $22.34 | $37.60 | |
Aetna
| Professional | $20.10 | $23.94 | $37.60 | |
BCBS
| Facility | $23.29 | $23.29 | $25.62 | |
BCBS
| Professional | $49.00 | $49.00 | $49.00 | |
Cigna
| Facility | $411.89 | $415.05 | $415.05 | |
Cigna
| Professional | $18.76 | $28.87 | $54.35 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $16.88 | $29.29 | $45.03 |