| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $23.99 | $34.67 | |
Aetna
| Professional | $22.91 | $23.99 | $30.90 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.04 | |
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
Molina
| Professional | $8.13 | $13.18 | $17.78 | |
SummaCare
| Professional | $60.26 | $60.26 | $60.26 | |
United
| Facility | $0.24 | $0.24 | $0.56 | |
United
| Professional | $0.21 | $0.52 | $0.71 |