| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.02 | $28.02 | $28.90 | |
Aetna
| Professional | $15.86 | $28.02 | $29.66 | |
BCBS
| Facility | $15.00 | $15.00 | $15.00 | |
BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Professional | $13.74 | $13.74 | $34.07 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $9.52 | $15.80 | $27.33 |