| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.75 | $23.75 | $37.04 | |
Aetna
| Professional | $21.50 | $23.75 | $23.75 | |
BCBS
| Facility | $17.53 | $17.53 | $17.53 | |
BCBS
| Professional | $16.64 | $17.53 | $19.50 | |
Cigna
| Professional | $14.63 | $30.56 | $56.25 | |
Health Alliance Plan
| Facility | $23.75 | $23.75 | $43.64 | |
Health Alliance Plan
| Professional | $23.75 | $24.00 | $30.00 | |
United
| Professional | $10.50 | $15.00 | $25.00 |