| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.25 | $33.25 | $51.87 | |
Aetna
| Professional | $28.85 | $33.25 | $52.50 | |
BCBS
| Facility | $28.39 | $39.59 | $69.53 | |
BCBS
| Professional | $24.94 | $26.25 | $27.56 | |
Cigna
| Professional | $10.00 | $17.76 | $78.75 | |
Health Alliance Plan
| Facility | $32.93 | $33.25 | $61.10 | |
Health Alliance Plan
| Professional | $32.93 | $33.25 | $59.50 | |
Molina
| Professional | $28.98 | $31.87 | $52.16 | |
United
| Professional | $14.70 | $21.00 | $35.00 |