| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.43 | $24.43 | $25.21 | |
Aetna
| Professional | $13.24 | $24.43 | $25.69 | |
BCBS
| Facility | $23.90 | $23.90 | $26.29 | |
BCBS
| Professional | $22.76 | $22.76 | $22.76 | |
Cigna
| Professional | $15.00 | $15.00 | $15.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $8.30 | $13.94 | $24.82 |