| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.36 | $118.36 | $124.27 |
Aetna
| Professional | $310.89 | $399.07 | $572.90 | |
BCBS
| Professional | $140.97 | $260.27 | $585.28 | |
Cigna
| Facility | 26 | $113.82 | $113.82 | $113.82 |
Cigna
| Professional | $340.64 | $523.15 | $835.64 | |
Health Alliance Plan
| Facility | 26 | $83.66 | $83.66 | $118.36 |
Health Alliance Plan
| Professional | $305.36 | $399.07 | $572.90 | |
Molina
| Professional | $93.78 | $230.88 | $378.95 | |
United
| Professional | $374.74 | $634.15 | $878.50 |