| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.52 | $16.52 | $18.25 | |
Aetna
| Professional | $16.52 | $21.61 | $30.09 | |
BCBS
| Professional | $27.00 | $27.00 | $27.00 | |
Cigna
| Professional | $22.20 | $29.16 | $29.16 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $78.18 | $78.18 | $88.20 | |
United
| Professional | $24.04 | $29.40 | $45.41 |