| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.90 | $22.90 | $24.84 | |
Aetna
| Professional | $22.90 | $29.01 | $39.69 | |
BCBS
| Professional | $36.00 | $36.00 | $36.00 | |
Cigna
| Professional | $30.95 | $30.95 | $31.77 | |
Molina
| Professional | $28.58 | $32.34 | $32.34 | |
United
| Professional | $30.65 | $36.47 | $48.96 |