| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.69 | $22.69 | $37.40 | |
Aetna
| Professional | $22.01 | $22.69 | $37.40 | |
BCBS
| Professional | $28.00 | $28.00 | $28.00 | |
Cigna
| Professional | $27.97 | $27.97 | $27.97 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $29.35 | $38.33 | $57.66 |