| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Professional | $6.00 | $6.56 | $9.19 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1.45 | $8.75 | $10.48 | |
Medcost
| Facility | $1.00 | $1.00 | $1.77 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |