| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.67 | $31.67 | $32.67 | |
Aetna
| Professional | $17.17 | $31.67 | $33.31 | |
BCBS
| Facility | $30.98 | $30.98 | $34.07 | |
BCBS
| Professional | $29.50 | $29.50 | $29.50 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $10.76 | $18.07 | $32.18 |