| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.41 | $0.41 | $0.41 | |
Aetna
| Professional | $0.41 | $0.41 | $0.41 | |
BCBS
| Facility | $1.28 | $1.28 | $1.28 | |
Cigna
| Professional | $0.52 | $0.52 | $0.52 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |