| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.96 | $11.96 | $12.34 | |
Aetna
| Professional | $6.48 | $11.96 | $12.58 | |
BCBS
| Facility | $11.70 | $11.70 | $12.86 | |
BCBS
| Professional | $11.14 | $11.14 | $11.14 | |
Cigna
| Professional | $7.34 | $7.34 | $7.34 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $4.07 | $6.82 | $12.15 |