| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.33 | $14.33 | $14.78 | |
Aetna
| Professional | $7.76 | $14.33 | $15.07 | |
BCBS
| Facility | $14.01 | $14.01 | $15.40 | |
BCBS
| Professional | $13.34 | $13.34 | $13.34 | |
Cigna
| Professional | $8.78 | $8.78 | $8.78 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $4.87 | $8.17 | $14.54 |