| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.59 | $12.59 | $12.59 | |
BCBS
| Facility | $23.99 | $23.99 | $26.30 | |
BCBS
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $22.91 | $22.91 | $22.91 | |
Molina
| Professional | $21.38 | $25.12 | $39.81 |