| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.04 | $66.04 | $103.02 | |
Aetna
| Professional | $57.01 | $66.04 | $71.79 | |
BCBS
| Facility | $54.35 | $78.64 | $138.11 | |
BCBS
| Professional | $35.46 | $52.14 | $70.39 | |
Cigna
| Professional | $40.67 | $84.67 | $105.84 | |
Health Alliance Plan
| Facility | $65.40 | $66.04 | $121.35 | |
Health Alliance Plan
| Professional | $65.40 | $66.04 | $83.42 | |
Molina
| Professional | $51.80 | $57.56 | $77.70 | |
United
| Professional | $29.20 | $41.71 | $44.21 |