| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $26.38 | $26.38 | |
Aetna
| Professional | $19.00 | $19.19 | $22.80 | |
BCBS
| Facility | $36.15 | $36.15 | $36.15 | |
Cigna
| Facility | $19.00 | $19.00 | $26.37 | |
Cigna
| Professional | $19.00 | $19.00 | $19.00 | |
Molina
| Professional | $38.22 | $38.22 | $38.22 | |
United
| Professional | $18.05 | $19.00 | $27.55 |