| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.85 | $51.85 | $51.85 | |
Aetna
| Professional | $30.70 | $50.59 | $51.85 | |
BCBS
| Facility | $34.86 | $34.86 | $34.86 | |
BCBS
| Professional | $33.13 | $36.26 | $47.07 | |
Health Alliance Plan
| Facility | $50.20 | $50.20 | $51.85 | |
Health Alliance Plan
| Professional | $49.00 | $50.20 | $65.26 | |
United
| Professional | $54.00 | $62.75 | $89.24 |