| 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 | $1.58 | $1.58 | $1.74 | |
BCBS
| Professional | $1.51 | $1.51 | $1.51 | |
Cigna
| Professional | $1.00 | $1.00 | $1.00 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $0.55 | $0.91 | $1.38 |