| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Professional | $6.03 | $6.76 | $8.91 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $8.71 | $8.71 | $10.47 | |
Medcost
| Facility | $1.00 | $1.00 | $1.78 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |