| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.95 | $1.95 | $1.95 | |
BCBS
| Facility | $3.80 | $3.80 | $4.17 | |
BCBS
| Professional | $3.63 | $3.63 | $3.63 | |
Cigna
| Facility | $2.04 | $2.04 | $2.04 | |
Cigna
| Professional | $1.74 | $1.74 | $2.04 | |
Molina
| Professional | $19.95 | $25.12 | $50.12 |