| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.45 | $15.45 | $140.00 | |
Aetna
| Professional | $15.45 | $19.00 | $24.60 | |
BCBS
| Professional | $67.00 | $67.00 | $67.00 | |
Cigna
| Professional | $21.00 | $23.00 | $35.64 | |
Molina
| Professional | $25.00 | $34.18 | $50.00 | |
United
| Professional | $41.99 | $55.06 | $82.36 |