| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.94 | $3.34 | $28.40 | |
Aetna
| Professional | $2.94 | $2.94 | $2.94 | |
BCBS
| Facility | $0.22 | $9.30 | $27.26 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Medcost
| Facility | $2.94 | $2.94 | $3.97 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |