| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.38 | $20.38 | $20.38 | |
Aetna
| Professional | $20.38 | $20.38 | $21.66 | |
BCBS
| Facility | $0.02 | $0.03 | $0.11 | |
Cigna
| Professional | $11.90 | $11.90 | $11.90 | |
Health Alliance Plan
| Facility | $20.38 | $22.51 | $25.48 | |
Health Alliance Plan
| Professional | $20.38 | $22.51 | $27.01 | |
Molina
| Professional | $30.00 | $30.00 | $100.00 |