| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.37 | $16.37 | $16.89 | |
Aetna
| Professional | $9.76 | $16.37 | $17.34 | |
BCBS
| Facility | $10.00 | $10.00 | $10.00 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $8.02 | $8.02 | $21.08 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $5.56 | $9.23 | $15.97 |