| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.17 | $32.17 | $50.19 | |
Aetna
| Professional | $28.95 | $32.17 | $32.17 | |
BCBS
| Facility | $22.56 | $22.56 | $23.75 | |
BCBS
| Professional | $22.56 | $23.75 | $26.42 | |
Cigna
| Professional | $41.30 | $51.63 | $76.19 | |
Health Alliance Plan
| Facility | $32.17 | $32.17 | $59.11 | |
Health Alliance Plan
| Professional | $32.17 | $32.51 | $40.63 | |
United
| Professional | $14.22 | $20.32 | $33.86 |