| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.22 | $14.22 | $14.22 | |
Aetna
| Professional | $14.22 | $16.29 | $20.28 | |
BCBS
| Facility | $23.04 | $23.92 | $23.92 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $15.88 | $19.59 | $26.01 |