| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $3.98 | $3.98 | |
BCBS
| Professional | $3.63 | $3.63 | $3.63 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Medcost
| Facility | $0.71 | $0.79 | $0.93 | |
Medcost
| Professional | $0.72 | $0.72 | $0.72 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |