| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.82 | $19.09 | $140.00 | |
Aetna
| Professional | $13.30 | $16.16 | $28.95 | |
BCBS
| Professional | $26.00 | $26.00 | $26.00 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $9.27 | $20.10 | $49.20 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $18.98 | $22.25 | $36.49 |