| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $33.11 | |
Aetna
| Professional | $15.14 | $21.88 | $26.92 | |
BCBS
| Professional | $40.74 | $40.74 | $40.74 | |
Cigna
| Professional | $22.39 | $22.39 | $25.12 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $15.85 | $28.84 | $48.98 |