| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.00 | $15.00 | $15.47 | |
Aetna
| Professional | $7.20 | $13.11 | $15.47 | |
BCBS
| Facility | $22.89 | $23.77 | $23.77 | |
BCBS
| Professional | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $7.36 | $7.36 | $20.02 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $5.09 | $8.47 | $14.66 |