| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.65 | $44.65 | $69.65 | |
Aetna
| Professional | $40.19 | $44.65 | $44.65 | |
BCBS
| Facility | $32.96 | $32.96 | $32.96 | |
BCBS
| Professional | $31.31 | $32.96 | $36.65 | |
Cigna
| Professional | $57.41 | $57.41 | $71.76 | |
Health Alliance Plan
| Facility | $44.65 | $44.65 | $82.04 | |
Health Alliance Plan
| Professional | $44.65 | $45.12 | $56.40 | |
United
| Professional | $19.73 | $28.20 | $47.00 |