| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
BCBS
| Professional | $6.00 | $6.56 | $9.19 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.34 | $8.34 | $8.34 | |
Medcost
| Facility | $4.00 | $4.00 | $7.08 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |