| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.45 | $11.45 | $140.00 | |
Aetna
| Professional | $11.45 | $14.22 | $18.23 | |
BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Professional | $10.00 | $10.00 | $21.60 | |
Molina
| Professional | $12.07 | $25.00 | $50.00 | |
United
| Facility | $242.75 | $242.75 | $273.87 | |
United
| Professional | $29.50 | $43.31 | $55.90 |