| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.00 | $32.00 | $32.00 | |
Aetna
| Professional | $32.00 | $32.00 | $32.00 | |
BCBS
| Facility | $5.03 | $5.03 | $5.53 | |
BCBS
| Professional | $4.79 | $4.79 | $4.79 | |
Cigna
| Professional | $5.43 | $17.20 | $17.20 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |