| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.00 | $12.68 | $25.57 | |
BCBS
| Facility | $23.00 | $23.00 | $25.30 | |
BCBS
| Professional | $23.00 | $23.00 | $23.00 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 |