| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.56 | $0.82 | $0.82 | |
Aetna
| Professional | $0.56 | $0.68 | $0.82 | |
BCBS
| Facility | $0.45 | $0.45 | $0.50 | |
BCBS
| Professional | $0.45 | $0.45 | $0.45 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $0.11 | $0.12 | $0.18 |