| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.15 | $0.15 | |
Aetna
| Professional | $0.14 | $0.15 | $0.15 | |
Ambetter
| Professional | $23.00 | $23.00 | $23.00 | |
BCBS
| Facility | $0.19 | $0.19 | $0.21 | |
BCBS
| Professional | $0.18 | $0.18 | $0.18 | |
Cigna
| Professional | $0.30 | $0.30 | $0.30 | |
Molina
| Professional | $21.25 | $42.50 | $50.00 |