| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $12.02 | $120.23 | |
BCBS
| Facility | $22.91 | $22.91 | $25.12 | |
BCBS
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $8.51 | $8.51 | $8.51 | |
Molina
| Professional | $21.38 | $25.12 | $30.20 |