| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $0.97 | $0.97 | $0.97 | |
Cigna
| Facility | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $0.02 | $0.02 | $0.02 | |
Molina
| Professional | $20.00 | $25.00 | $59.50 | |
United
| Professional | $0.02 | $0.02 | $0.03 |