| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $12.02 | $141.25 | |
Aetna
| Professional | $10.96 | $14.13 | $18.20 | |
BCBS
| Professional | $15.14 | $15.14 | $15.14 | |
Cigna
| Professional | $10.00 | $12.02 | $48.98 | |
Molina
| Professional | $21.38 | $41.69 | $50.12 | |
United
| Facility | $204.17 | $204.17 | $204.17 | |
United
| Professional | $35.48 | $46.77 | $67.61 |