| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.52 | $36.52 | $37.67 | |
Aetna
| Professional | $25.49 | $36.90 | $38.67 | |
BCBS
| Facility | $10.00 | $10.00 | $10.00 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $17.91 | $17.91 | $52.69 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $12.41 | $20.62 | $35.64 |