| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.64 | $19.64 | $20.27 | |
Aetna
| Professional | $14.56 | $19.64 | $20.81 | |
BCBS
| Facility | $29.98 | $31.13 | $31.13 | |
BCBS
| Professional | $72.00 | $72.00 | $72.00 | |
Cigna
| Professional | $9.63 | $9.63 | $38.92 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $6.68 | $11.08 | $19.17 |