| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.03 | $24.76 | $29.29 | |
BCBS
| Facility | $83.29 | $83.29 | $155.50 | |
BCBS
| Professional | $36.00 | $39.93 | $80.00 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Medcost
| Facility | $49.24 | $52.00 | $52.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |