| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.09 | $0.09 | $0.36 | |
Aetna
| Professional | $0.09 | $0.09 | $0.09 | |
BCBS
| Facility | $0.18 | $0.18 | $0.33 | |
Medcost
| Facility | $0.09 | $0.10 | $0.15 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |