| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $61.66 | |
Aetna
| Professional | $22.91 | $28.84 | $41.69 | |
BCBS
| Facility | $24.55 | $24.55 | $24.55 | |
BCBS
| Professional | $23.44 | $24.55 | $24.55 | |
Cigna
| Professional | $42.66 | $42.66 | $53.70 | |
Health Alliance Plan
| Facility | $33.11 | $33.11 | $83.18 | |
Health Alliance Plan
| Professional | $28.18 | $35.48 | $47.86 | |
Priority Health
| Professional | $42.66 | $42.66 | $42.66 | |
United
| Facility | $31.62 | $35.48 | $41.69 | |
United
| Professional | $14.79 | $20.89 | $35.48 |