| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $58.88 | $109.65 | |
Aetna
| Professional | $40.74 | $52.48 | $74.13 | |
BCBS
| Facility | $43.65 | $43.65 | $43.65 | |
BCBS
| Professional | $41.69 | $43.65 | $43.65 | |
Cigna
| Professional | $70.79 | $75.86 | $95.50 | |
Health Alliance Plan
| Facility | $58.88 | $58.88 | $147.91 | |
Health Alliance Plan
| Professional | $50.12 | $61.66 | $85.11 | |
Priority Health
| Professional | $70.79 | $70.79 | $75.86 | |
United
| Facility | $30.90 | $61.66 | $61.66 | |
United
| Professional | $26.30 | $37.15 | $39.81 |