| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.34 | $33.34 | $52.01 | |
Aetna
| Professional | $30.01 | $33.34 | $33.34 | |
BCBS
| Facility | $23.38 | $23.38 | $24.61 | |
BCBS
| Professional | $23.38 | $24.61 | $27.37 | |
Cigna
| Professional | $42.95 | $53.69 | $87.73 | |
Health Alliance Plan
| Facility | $33.34 | $33.34 | $61.26 | |
Health Alliance Plan
| Professional | $33.34 | $33.69 | $42.11 | |
United
| Facility | $14.74 | $31.58 | $42.11 | |
United
| Professional | $14.74 | $21.05 | $35.09 |