| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.83 | $30.83 | $45.12 | |
Aetna
| Professional | $30.83 | $45.12 | $50.76 | |
BCBS
| Professional | $21.81 | $21.81 | $21.81 | |
Cigna
| Facility | $31.96 | $31.96 | $31.96 | |
Cigna
| Professional | $31.96 | $31.96 | $37.60 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $36.10 | $37.60 | $48.88 |