| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $8.91 | $8.91 | |
Aetna
| Professional | $5.01 | $7.08 | $8.91 | |
BCBS
| Facility | $8.91 | $8.91 | $10.00 | |
BCBS
| Professional | $8.51 | $8.51 | $8.51 | |
Cigna
| Professional | $5.62 | $5.62 | $5.62 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $3.09 | $5.25 | $7.94 |