| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.41 | $22.39 | $22.39 | |
Aetna
| Professional | $13.03 | $15.44 | $20.66 | |
BCBS
| Facility | $28.05 | $28.05 | $75.28 | |
BCBS
| Professional | $19.03 | $21.38 | $23.07 | |
Cigna
| Facility | $23.81 | $23.81 | $70.00 | |
Cigna
| Professional | $15.80 | $27.20 | $60.86 | |
Hally Health
| Professional | $18.36 | $26.88 | $80.40 | |
Molina
| Professional | $28.90 | $32.34 | $32.34 | |
United
| Professional | $19.17 | $20.96 | $33.52 |