| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.73 | $17.73 | $25.96 | |
Aetna
| Professional | $17.30 | $18.39 | $25.96 | |
BCBS
| Facility | $21.00 | $21.00 | $23.10 | |
Cigna
| Facility | $18.39 | $18.39 | $18.39 | |
Cigna
| Professional | $18.39 | $18.39 | $18.39 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |