| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $20.89 | $30.58 | |
Aetna
| Professional | $20.38 | $21.66 | $30.58 | |
BCBS
| Facility | $13.99 | $13.99 | $15.38 | |
Cigna
| Professional | $11.90 | $11.90 | $11.90 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |