| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.95 | |
Aetna
| Professional | $12.88 | $15.85 | $19.95 | |
BCBS
| Facility | $30.90 | $31.62 | $31.62 | |
BCBS
| Professional | $72.44 | $72.44 | $72.44 | |
Cigna
| Professional | $9.55 | $9.55 | $9.55 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $6.61 | $10.96 | $16.22 |