| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.66 | $45.66 | $47.10 | |
Aetna
| Professional | $24.74 | $45.66 | $48.02 | |
BCBS
| Facility | $44.66 | $44.66 | $49.12 | |
BCBS
| Professional | $42.53 | $42.53 | $42.53 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $15.52 | $26.06 | $46.39 |