| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.50 | $26.50 | $27.33 | |
Aetna
| Professional | $14.36 | $26.50 | $27.87 | |
BCBS
| Facility | $25.91 | $25.91 | $28.51 | |
BCBS
| Professional | $24.68 | $24.68 | $24.68 | |
Cigna
| Professional | $16.27 | $16.27 | $16.27 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $9.01 | $15.12 | $26.91 |