| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.75 | $123.55 | $836.40 | |
Aetna
| Professional | $10.30 | $11.97 | $18.53 | |
BCBS
| Professional | $29.00 | $29.00 | $29.00 | |
Cigna
| Professional | $9.33 | $9.33 | $22.90 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $9.10 | $14.51 | $19.11 |