| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.85 | $23.85 | $37.21 | |
Aetna
| Professional | $18.10 | $23.85 | $23.85 | |
BCBS
| Facility | $16.73 | $16.73 | $17.61 | |
BCBS
| Professional | $16.73 | $17.61 | $23.77 | |
Cigna
| Professional | $30.64 | $36.47 | $36.72 | |
Health Alliance Plan
| Facility | $23.85 | $23.85 | $43.82 | |
Health Alliance Plan
| Professional | $23.85 | $26.74 | $31.01 | |
United
| Professional | $10.54 | $15.06 | $17.98 |