| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.08 | $6.08 | $10.00 | |
Aetna
| Professional | $3.78 | $6.08 | $6.08 | |
BCBS
| Facility | $6.86 | $14.39 | $27.81 | |
BCBS
| Professional | $5.12 | $5.12 | $6.08 | |
Cigna
| Professional | $2.60 | $6.31 | $6.53 | |
Health Alliance Plan
| Facility | $6.08 | $7.46 | $7.46 | |
Health Alliance Plan
| Professional | $4.23 | $6.08 | $7.46 | |
Molina
| Professional | $7.50 | $7.50 | $7.50 | |
United
| Professional | $3.15 | $7.19 | $11.09 |