| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.44 | $17.44 | $17.98 | |
Aetna
| Professional | $12.16 | $17.62 | $20.59 | |
BCBS
| Professional | $73.00 | $73.00 | $73.00 | |
Cigna
| Facility | $17.32 | $17.32 | $17.32 | |
Cigna
| Professional | $17.32 | $17.32 | $17.32 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $19.55 | $20.38 | $26.49 |