| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.79 | $13.79 | $14.23 | |
Aetna
| Professional | $7.96 | $11.55 | $14.23 | |
BCBS
| Facility | $15.00 | $15.00 | $15.00 | |
BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Professional | $6.76 | $6.76 | $22.48 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $4.69 | $7.52 | $13.05 |