| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.69 | $1.69 | $1.69 | |
Aetna
| Professional | $1.69 | $1.69 | $2.80 | |
BCBS
| Facility | $22.05 | $22.05 | $24.26 | |
BCBS
| Professional | $21.00 | $21.00 | $21.00 | |
Cigna
| Professional | $1.89 | $1.89 | $7.84 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |