| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.08 | $7.08 | $7.08 | |
Aetna
| Professional | $7.08 | $12.02 | $21.88 | |
BCBS
| Professional | $18.20 | $18.20 | $18.20 | |
Cigna
| Professional | $19.95 | $21.38 | $21.38 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $9.12 | $12.30 | $19.50 |