| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.17 | $2.17 | $2.17 | |
Aetna
| Professional | $0.87 | $1.96 | $2.17 | |
BCBS
| Facility | $9.46 | $22.04 | $275.00 | |
BCBS
| Professional | $1.79 | $2.38 | $2.84 | |
Cigna
| Professional | $1.52 | $1.52 | $1.52 | |
Molina
| Professional | $4.37 | $4.37 | $4.86 | |
Providence
| Facility | $1.81 | $2.34 | $2.58 | |
Providence
| Professional | $1.52 | $1.52 | $3.58 | |
United
| Professional | $1.17 | $1.27 | $1.90 |