| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.95 | $108.71 | $169.59 | |
Aetna
| Professional | $93.83 | $93.83 | $135.88 | |
BCBS
| Facility | $80.23 | $80.23 | $80.23 | |
BCBS
| Professional | $54.56 | $80.23 | $108.32 | |
Cigna
| Professional | $131.75 | $139.59 | $174.49 | |
Health Alliance Plan
| Facility | $108.71 | $108.71 | $199.76 | |
Health Alliance Plan
| Professional | $109.85 | $109.85 | $137.32 | |
United
| Professional | $48.06 | $68.66 | $114.43 |