| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $0.90 | |
Aetna
| Professional | $0.90 | $0.90 | $5.12 | |
BCBS
| Professional | $8.32 | $8.32 | $8.32 | |
Cigna
| Professional | $12.45 | $12.45 | $12.45 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |