| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $99.37 | $99.37 | $104.33 |
Aetna
| Professional | $581.28 | $740.55 | $796.99 | |
BCBS
| Professional | $124.00 | $896.50 | $1,049.65 | |
Cigna
| Professional | $548.04 | $1,117.34 | $1,521.51 | |
Health Alliance Plan
| Facility | 26 | $69.37 | $69.37 | $99.37 |
Health Alliance Plan
| Professional | $557.45 | $652.21 | $903.71 | |
Molina
| Professional | $93.24 | $505.89 | $707.68 | |
United
| Professional | $653.11 | $761.42 | $1,002.64 |