| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.64 | $69.64 | $71.84 | |
Aetna
| Professional | $39.04 | $69.64 | $73.75 | |
BCBS
| Facility | $31.00 | $31.00 | $31.00 | |
BCBS
| Professional | $31.00 | $31.00 | $31.00 | |
Cigna
| Professional | $34.15 | $34.15 | $72.70 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $23.67 | $39.29 | $82.70 |