| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.51 | $2.27 | $3.33 | |
BCBS
| Facility | $75.59 | $75.59 | $83.16 | |
BCBS
| Professional | $72.00 | $72.00 | $72.00 | |
Cigna
| Professional | $6.50 | $6.50 | $6.50 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |