| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $5.00 | |
Aetna
| Professional | $0.73 | $0.73 | $2.11 | |
BCBS
| Facility | $3.60 | $7.56 | $14.61 | |
BCBS
| Professional | $2.56 | $2.69 | $2.69 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Health Alliance Plan
| Facility | $0.73 | $3.25 | $4.13 | |
Health Alliance Plan
| Professional | $0.73 | $3.25 | $3.90 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |