| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.45 | $11.45 | $140.00 | |
Aetna
| Professional | $11.45 | $14.00 | $18.23 | |
BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Professional | $10.00 | $10.00 | $27.92 | |
Molina
| Professional | $25.00 | $40.00 | $50.00 | |
United
| Professional | $37.14 | $46.99 | $72.50 |