| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.45 | $15.45 | $140.00 | |
Aetna
| Professional | $15.45 | $18.87 | $24.60 | |
BCBS
| Professional | $11.00 | $11.00 | $11.00 | |
Cigna
| Professional | $12.00 | $12.00 | $15.75 | |
Molina
| Professional | $8.24 | $25.00 | $50.00 | |
United
| Professional | $4.87 | $6.60 | $8.77 |