| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
BCBS
| Facility | $38.00 | $38.00 | $38.00 | |
BCBS
| Professional | $38.00 | $38.00 | $38.00 | |
Cigna
| Professional | $14.68 | $14.68 | $23.87 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $14.77 | $22.16 | $40.35 |