| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.93 | $35.93 | $45.27 |
Aetna
| Professional | $169.28 | $213.67 | $264.02 | |
BCBS
| Professional | $47.59 | $323.58 | $408.74 | |
Cigna
| Professional | $178.23 | $290.18 | $485.29 | |
Health Alliance Plan
| Facility | 26 | $25.94 | $25.94 | $37.72 |
Health Alliance Plan
| Professional | $151.46 | $212.04 | $332.66 | |
Molina
| Professional | $34.19 | $202.65 | $266.48 | |
United
| Professional | $165.50 | $216.20 | $310.20 |