| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.00 | $14.00 | $14.45 | |
Aetna
| Professional | $7.93 | $14.00 | $14.83 | |
BCBS
| Facility | $11.00 | $11.00 | $11.00 | |
BCBS
| Professional | $11.00 | $11.00 | $11.00 | |
Cigna
| Professional | $6.87 | $6.87 | $17.21 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $4.76 | $7.90 | $13.24 |