| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.94 | $4.20 | $46.80 | |
Aetna
| Professional | $2.94 | $2.94 | $2.94 | |
BCBS
| Facility | $10.00 | $10.00 | $10.00 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Molina
| Professional | $5.40 | $9.00 | $20.00 |