| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $12.88 | |
Aetna
| Professional | $8.91 | $10.96 | $26.92 | |
BCBS
| Facility | $10.00 | $10.00 | $10.00 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $6.61 | $6.61 | $6.61 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $4.57 | $7.59 | $11.22 |