| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $158.49 | $316.23 | |
Aetna
| Professional | $28.18 | $28.84 | $42.66 | |
BCBS
| Professional | $57.54 | $57.54 | $57.54 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $30.90 | $30.90 | $36.31 | |
Molina
| Professional | $39.81 | $42.66 | $50.12 | |
United
| Professional | $28.84 | $30.20 | $46.77 |