| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.62 | $6.62 | $6.62 | |
Aetna
| Professional | $3.92 | $6.62 | $6.95 | |
BCBS
| Facility | $12.29 | $26.21 | $49.81 | |
BCBS
| Professional | $8.26 | $9.03 | $11.30 | |
Cigna
| Professional | $4.45 | $4.45 | $12.66 | |
Health Alliance Plan
| Facility | $6.29 | $6.29 | $7.23 | |
Health Alliance Plan
| Professional | $5.74 | $6.29 | $10.43 | |
Molina
| Professional | $5.45 | $6.26 | $9.81 | |
United
| Professional | $3.08 | $4.16 | $6.71 |