| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.28 | $146.58 | $162.59 | |
BCBS
| Facility | $104.74 | $148.96 | $264.89 | |
Cigna
| Professional | $275.00 | $275.00 | $343.75 | |
Health Alliance Plan
| Professional | $137.28 | $161.36 | $541.02 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |