| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.55 | $15.83 | $21.10 | |
Aetna
| Professional | $6.48 | $10.55 | $18.57 | |
Cigna
| Facility | $12.30 | $12.30 | $12.30 | |
Cigna
| Professional | $16.30 | $18.54 | $48.34 | |
Health Alliance Plan
| Facility | $10.55 | $24.92 | $54.10 | |
Health Alliance Plan
| Professional | $10.55 | $54.10 | $62.82 | |
United
| Professional | $7.61 | $9.94 | $15.18 |