| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.99 | $27.99 | $27.99 | |
Aetna
| Professional | $27.99 | $32.24 | $40.56 | |
BCBS
| Facility | $45.88 | $47.65 | $47.65 | |
Cigna
| Professional | $31.84 | $31.84 | $31.84 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $31.45 | $37.39 | $51.44 |