| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.47 | $65.47 | $102.13 | |
Aetna
| Professional | $56.51 | $65.47 | $65.47 | |
BCBS
| Facility | $49.11 | $49.11 | $51.69 | |
BCBS
| Professional | $35.15 | $51.69 | $51.69 | |
Cigna
| Professional | $43.68 | $79.30 | $99.12 | |
Health Alliance Plan
| Facility | $65.47 | $65.47 | $120.30 | |
Health Alliance Plan
| Professional | $65.47 | $76.23 | $86.70 | |
United
| Professional | $28.95 | $44.49 | $76.16 |