| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.34 | $46.03 | $94.29 | |
Aetna
| Professional | $24.54 | $47.91 | $88.22 | |
BCBS
| Facility | $57.32 | $57.32 | $57.32 | |
BCBS
| Professional | $48.00 | $48.00 | $48.00 | |
Cigna
| Professional | $25.06 | $51.59 | $82.80 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $26.99 | $53.26 | $81.03 |