| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $6.03 | $7.94 | $12.02 | |
BCBS
| Facility | $11.22 | $11.22 | $12.30 | |
BCBS
| Professional | $10.72 | $10.72 | $10.72 | |
Cigna
| Professional | $7.08 | $7.08 | $7.08 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $3.89 | $6.46 | $10.00 |