| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $4.04 | $4.04 | |
Aetna
| Professional | $4.04 | $4.04 | $4.66 | |
BCBS
| Professional | $2.47 | $2.47 | $2.47 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |