| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.66 | $2.66 | $10.75 | |
Aetna
| Professional | $2.66 | $2.75 | $2.75 | |
BCBS
| Facility | $1.63 | $6.84 | $10.85 | |
BCBS
| Professional | $6.86 | $6.86 | $6.86 | |
Medcost
| Facility | $2.66 | $2.93 | $3.59 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |