| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.20 | $3.20 | $3.20 | |
BCBS
| Professional | $58.00 | $63.45 | $88.87 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $6.50 | $6.50 | $13.93 | |
Medcost
| Facility | $3.20 | $3.52 | $7.18 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |