| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.37 | $14.37 | $14.37 | |
Aetna
| Professional | $14.37 | $14.37 | $14.37 | |
BCBS
| Facility | $21.90 | $21.90 | $24.10 | |
BCBS
| Professional | $5.00 | $5.00 | $5.00 | |
Cigna
| Facility | $14.21 | $14.21 | $14.21 | |
Cigna
| Professional | $12.08 | $12.08 | $14.21 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $6.47 | $10.88 | $17.23 |