| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.54 | $49.54 | $49.54 | |
Aetna
| Professional | $45.50 | $49.54 | $57.42 | |
BCBS
| Professional | $37.17 | $37.17 | $37.17 | |
Cigna
| Professional | $50.86 | $50.86 | $50.86 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $57.24 | $60.55 | $77.20 |