| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.90 | $36.90 | $40.94 | |
Aetna
| Professional | $32.24 | $36.90 | $44.89 | |
Anthem BCBS
| Professional | $30.75 | $42.56 | $58.02 | |
Cigna
| Facility | $53.31 | $53.31 | $53.31 | |
Cigna
| Professional | $42.56 | $42.56 | $222.97 | |
Molina
| Professional | $32.34 | $32.34 | $53.72 | |
United
| Professional | $35.51 | $46.16 | $64.26 |