| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $30.90 | $32.36 | |
Aetna
| Professional | $16.98 | $28.18 | $34.67 | |
BCBS
| Facility | $30.90 | $30.90 | $33.88 | |
BCBS
| Professional | $29.51 | $29.51 | $29.51 | |
Cigna
| Facility | $22.39 | $26.92 | $26.92 | |
Cigna
| Professional | $22.91 | $22.91 | $31.62 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $12.88 | $16.98 | $23.99 | |
United
| Professional | $12.59 | $18.20 | $31.62 |