| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.03 | $30.03 | $30.98 | |
Aetna
| Professional | $18.50 | $30.03 | $31.80 | |
BCBS
| Facility | $45.83 | $47.59 | $47.59 | |
BCBS
| Professional | $72.00 | $72.00 | $72.00 | |
Cigna
| Professional | $14.73 | $14.73 | $40.39 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $10.21 | $16.93 | $29.30 |