| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.76 | $17.76 | $18.32 | |
Aetna
| Professional | $9.96 | $17.76 | $18.80 | |
BCBS
| Facility | $23.00 | $23.00 | $23.00 | |
BCBS
| Professional | $23.00 | $23.00 | $23.00 | |
Cigna
| Professional | $8.71 | $8.71 | $28.10 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $6.03 | $10.00 | $17.30 |