| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.29 | $22.29 | $22.99 | |
Aetna
| Professional | $12.09 | $22.29 | $23.44 | |
BCBS
| Facility | $21.81 | $21.81 | $23.99 | |
BCBS
| Professional | $20.77 | $20.77 | $20.77 | |
Cigna
| Professional | $10.93 | $10.93 | $12.04 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $7.58 | $12.72 | $22.66 |