| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.86 | $50.86 | $52.47 | |
Aetna
| Professional | $38.81 | $51.40 | $53.87 | |
BCBS
| Facility | $49.26 | $49.26 | $49.26 | |
BCBS
| Professional | $49.26 | $49.26 | $49.26 | |
Cigna
| Professional | $24.95 | $24.95 | $96.94 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $17.28 | $29.03 | $76.26 |