| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Facility | $6.46 | $6.46 | $7.08 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $1.23 | $1.23 | $1.23 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $0.58 | $0.74 | $1.51 |