| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.05 | $17.05 | $17.60 | |
Aetna
| Professional | $13.14 | $17.05 | $18.07 | |
BCBS
| Facility | $14.00 | $14.00 | $14.00 | |
BCBS
| Professional | $14.00 | $14.00 | $14.00 | |
Cigna
| Professional | $8.36 | $8.36 | $33.82 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $5.80 | $9.64 | $16.68 |