| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.47 | $41.47 | $65.48 | |
Aetna
| Professional | $37.54 | $41.47 | $46.68 | |
BCBS
| Facility | $35.40 | $49.81 | $86.72 | |
BCBS
| Professional | $31.10 | $32.74 | $35.03 | |
Cigna
| Professional | $22.07 | $35.74 | $60.75 | |
Health Alliance Plan
| Facility | $41.47 | $41.47 | $76.20 | |
Health Alliance Plan
| Professional | $41.47 | $55.98 | $74.20 | |
Molina
| Professional | $36.15 | $39.76 | $65.06 | |
United
| Professional | $18.32 | $35.72 | $59.55 |