| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.26 | $27.26 | $41.49 | |
Aetna
| Professional | $27.26 | $42.34 | $68.20 | |
BCBS
| Professional | $54.41 | $54.41 | $54.41 | |
Cigna
| Professional | $49.99 | $49.99 | $49.99 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $58.28 | $70.06 | $91.20 |