| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.47 | $13.47 | $13.90 | |
Aetna
| Professional | $10.28 | $13.61 | $26.68 | |
BCBS
| Facility | $10.00 | $10.00 | $10.00 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $6.60 | $6.60 | $26.68 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $4.58 | $7.34 | $13.13 |