| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.08 | $38.08 | $38.08 | |
Aetna
| Professional | $23.43 | $37.19 | $38.08 | |
BCBS
| Facility | $34.86 | $34.86 | $34.86 | |
BCBS
| Professional | $33.13 | $36.26 | $47.07 | |
Health Alliance Plan
| Facility | $38.08 | $38.08 | $38.08 | |
Health Alliance Plan
| Professional | $26.83 | $38.08 | $38.08 | |
United
| Professional | $43.83 | $52.72 | $68.66 |