| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $28.18 | $28.18 | |
Aetna
| Professional | $16.98 | $22.91 | $28.84 | |
BCBS
| Facility | $15.14 | $15.14 | $15.14 | |
BCBS
| Professional | $15.14 | $15.14 | $15.14 | |
Cigna
| Professional | $13.80 | $13.80 | $13.80 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $9.55 | $15.85 | $22.91 |