| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.70 | $19.70 | $140.00 | |
Aetna
| Professional | $14.33 | $16.76 | $25.60 | |
BCBS
| Professional | $27.00 | $27.00 | $27.00 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $10.65 | $23.30 | $44.42 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $19.86 | $23.29 | $44.45 |