| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
BCBS
| Facility | $888.72 | $888.72 | $888.72 | |
BCBS
| Professional | $835.25 | $933.16 | $1,199.77 | |
Health Alliance Plan
| Professional | $1,059.21 | $1,060.00 | $1,060.00 | |
Molina
| Professional | $30.00 | $30.00 | $50.00 |