| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.80 | $33.32 | $64.77 | |
Aetna
| Professional | $17.95 | $33.32 | $64.77 | |
BCBS
| Facility | $87.42 | $87.42 | $87.42 | |
BCBS
| Professional | $39.00 | $39.00 | $39.00 | |
Cigna
| Facility | $21.14 | $95.88 | $165.14 | |
Cigna
| Professional | $16.95 | $34.47 | $52.15 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $28.94 | $34.72 | $58.79 |