| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.19 | $61.19 | $95.46 | |
Aetna
| Professional | $52.82 | $61.19 | $61.19 | |
BCBS
| Facility | $45.17 | $45.17 | $45.17 | |
BCBS
| Professional | $30.72 | $45.17 | $60.98 | |
Cigna
| Professional | $73.93 | $78.47 | $98.09 | |
Health Alliance Plan
| Facility | $61.19 | $61.19 | $112.44 | |
Health Alliance Plan
| Professional | $61.19 | $61.83 | $77.29 | |
United
| Professional | $27.05 | $38.65 | $40.96 |