| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.67 | $47.67 | $47.67 | |
Aetna
| Professional | $29.33 | $47.01 | $49.98 | |
BCBS
| Facility | $22.90 | $26.24 | $26.24 | |
BCBS
| Professional | $21.76 | $27.55 | $31.49 | |
Cigna
| Professional | $60.98 | $70.62 | $84.74 | |
Health Alliance Plan
| Facility | $47.67 | $50.20 | $50.20 | |
Health Alliance Plan
| Professional | $46.55 | $50.20 | $58.80 | |
United
| Professional | $40.86 | $49.35 | $67.37 |