| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.45 | $5.45 | $5.45 | |
BCBS
| Professional | $2.00 | $2.16 | $3.06 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Medcost
| Facility | $5.45 | $5.45 | $11.53 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |