| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.87 | $157.18 | $314.36 | |
Aetna
| Professional | $29.52 | $43.20 | $48.60 | |
BCBS
| Professional | $57.51 | $57.51 | $57.51 | |
Cigna
| Facility | $30.60 | $30.60 | $30.60 | |
Cigna
| Professional | $30.60 | $30.60 | $36.00 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $28.80 | $30.00 | $39.00 |