| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $28.18 | |
Aetna
| Professional | $19.05 | $19.05 | $22.91 | |
BCBS
| Facility | $14.13 | $14.13 | $15.85 | |
Cigna
| Professional | $10.96 | $10.96 | $10.96 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |