| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.03 | $0.05 | |
Aetna
| Professional | $0.03 | $0.03 | $0.05 | |
BCBS
| Facility | $14.70 | $14.70 | $16.17 | |
BCBS
| Professional | $14.00 | $14.00 | $14.00 | |
Cigna
| Professional | $19.09 | $20.03 | $20.03 | |
Molina
| Professional | $20.00 | $20.00 | $30.00 |