| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $4.50 | $7.50 | $7.50 | |
BCBS
| Facility | $9.78 | $20.36 | $38.69 | |
BCBS
| Professional | $6.41 | $7.02 | $9.11 | |
Cigna
| Professional | $0.40 | $4.37 | $7.98 | |
Health Alliance Plan
| Facility | $7.38 | $7.38 | $7.50 | |
Health Alliance Plan
| Professional | $7.38 | $7.50 | $9.22 | |
Molina
| Professional | $7.98 | $75.00 | $100.00 |