| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.95 | $108.71 | $169.59 | |
Aetna
| Professional | $93.83 | $93.83 | $135.88 | |
BCBS
| Facility | $89.46 | $128.27 | $227.33 | |
BCBS
| Professional | $58.36 | $85.82 | $115.86 | |
Cigna
| Professional | $66.94 | $139.59 | $174.49 | |
Health Alliance Plan
| Facility | $107.66 | $108.71 | $199.76 | |
Health Alliance Plan
| Professional | $107.66 | $107.66 | $137.32 | |
United
| Professional | $48.06 | $68.66 | $73.23 |