| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.91 | $43.91 | $55.32 |
Aetna
| Professional | $258.64 | $323.51 | $366.78 | |
BCBS
| Professional | $54.78 | $373.86 | $493.01 | |
Cigna
| Professional | $281.24 | $512.29 | $704.57 | |
Health Alliance Plan
| Facility | 26 | $32.54 | $32.54 | $43.91 |
Health Alliance Plan
| Professional | $259.69 | $296.87 | $444.08 | |
Molina
| Professional | $34.19 | $233.47 | $307.89 | |
United
| Professional | $274.73 | $322.27 | $493.42 |