| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.03 | $59.03 | $92.09 | |
Aetna
| Professional | $50.95 | $59.03 | $59.03 | |
BCBS
| Facility | $41.40 | $41.40 | $43.58 | |
BCBS
| Professional | $41.40 | $43.58 | $58.83 | |
Cigna
| Professional | $71.45 | $75.58 | $94.48 | |
Health Alliance Plan
| Facility | $59.03 | $59.03 | $108.47 | |
Health Alliance Plan
| Professional | $59.03 | $59.65 | $74.56 | |
United
| Facility | $62.14 | $62.14 | $74.56 | |
United
| Professional | $26.10 | $37.28 | $39.77 |