| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $79.43 | |
BCBS
| Professional | $30.20 | $38.02 | $77.62 | |
Cigna
| Professional | $15.85 | $15.85 | $19.50 | |
United
| Professional | $5.89 | $10.23 | $17.78 |
Alcohols
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $79.43 | |
BCBS
| Professional | $30.20 | $38.02 | $77.62 | |
Cigna
| Professional | $15.85 | $15.85 | $19.50 | |
United
| Professional | $5.89 | $10.23 | $17.78 |