| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $5.01 | $5.01 | |
BCBS
| Facility | $3.02 | $4.47 | $7.59 | |
Health Alliance Plan
| Facility | $26.30 | $69.18 | $77.62 | |
Health Alliance Plan
| Professional | $18.20 | $26.30 | $39.81 |