| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.45 | $11.45 | $140.00 | |
Aetna
| Professional | $11.45 | $13.88 | $18.23 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $10.00 | $10.00 | $16.80 | |
Molina
| Professional | $6.69 | $25.00 | $50.00 | |
United
| Professional | $4.07 | $5.03 | $7.52 |