| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.16 | $23.16 | $23.89 | |
Aetna
| Professional | $12.55 | $23.16 | $24.36 | |
BCBS
| Facility | $22.65 | $22.65 | $24.92 | |
BCBS
| Professional | $21.57 | $21.57 | $21.57 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $7.87 | $13.22 | $29.25 |