| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.60 | $25.60 | $29.66 | |
Aetna
| Professional | $25.60 | $31.72 | $43.22 | |
BCBS
| Facility | $32.00 | $32.00 | $32.00 | |
BCBS
| Professional | $32.00 | $32.00 | $32.00 | |
Cigna
| Professional | $28.57 | $28.57 | $28.57 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $25.48 | $32.20 | $53.07 |