| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.08 | $7.08 | $7.08 | |
Aetna
| Professional | $7.08 | $7.08 | $7.08 | |
BCBS
| Facility | $21.88 | $21.88 | $23.99 | |
BCBS
| Professional | $20.89 | $20.89 | $20.89 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $7.08 | $7.08 | $7.08 |