| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.78 | $20.78 | $21.43 | |
Aetna
| Professional | $12.20 | $20.78 | $22.01 | |
BCBS
| Facility | $15.00 | $15.00 | $15.00 | |
BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Professional | $10.19 | $10.19 | $26.34 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $7.06 | $11.71 | $24.67 |