| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.74 | $16.21 | $27.82 | |
BCBS
| Professional | $14.00 | $20.26 | $30.39 | |
Cigna
| Professional | $10.65 | $10.65 | $15.58 | |
Medcost
| Facility | $18.23 | $30.00 | $37.31 | |
Molina
| Professional | $11.14 | $11.14 | $11.14 | |
United
| Professional | $8.51 | $12.16 | $19.82 |