| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.46 | $35.46 | $36.58 | |
Aetna
| Professional | $24.75 | $35.46 | $37.56 | |
BCBS
| Facility | $31.00 | $31.00 | $31.00 | |
BCBS
| Professional | $31.00 | $31.00 | $31.00 | |
Cigna
| Professional | $17.39 | $17.39 | $55.85 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $12.05 | $20.00 | $43.95 |