| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.71 | $9.71 | $10.02 | |
Aetna
| Professional | $6.44 | $8.34 | $10.02 | |
BCBS
| Facility | $10.00 | $10.00 | $10.00 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $4.76 | $4.76 | $11.11 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $3.30 | $5.47 | $9.47 |