| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.76 | $42.11 | $57.36 | |
Aetna
| Professional | $15.84 | $27.56 | $42.11 | |
BCBS
| Facility | $41.00 | $41.00 | $41.00 | |
BCBS
| Professional | $41.00 | $41.00 | $41.00 | |
Cigna
| Facility | $60.00 | $70.00 | $85.00 | |
Cigna
| Professional | $28.00 | $45.75 | $114.34 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $24.28 | $30.78 | $40.52 |