| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.99 | $4.99 | $4.99 | |
Aetna
| Professional | $2.93 | $4.99 | $5.24 | |
BCBS
| Facility | $9.50 | $19.75 | $37.54 | |
BCBS
| Professional | $6.22 | $6.81 | $8.52 | |
Cigna
| Professional | $3.35 | $3.35 | $9.38 | |
Health Alliance Plan
| Facility | $3.56 | $4.73 | $4.99 | |
Health Alliance Plan
| Professional | $4.53 | $4.73 | $7.86 | |
Molina
| Professional | $4.13 | $4.74 | $7.43 | |
United
| Professional | $2.31 | $3.07 | $4.68 |