| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $65.33 | $65.33 | $65.33 |
Aetna
| Professional | $190.67 | $242.31 | $311.30 | |
BCBS
| Professional | $81.67 | $265.39 | $347.30 | |
Cigna
| Professional | $209.62 | $361.96 | $501.38 | |
Health Alliance Plan
| Facility | 26 | $45.77 | $45.77 | $65.33 |
Health Alliance Plan
| Professional | $196.70 | $225.48 | $357.01 | |
Molina
| Professional | $34.19 | $169.62 | $227.84 | |
United
| Professional | $222.10 | $269.54 | $362.24 |