| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.83 | $41.83 | $65.25 | |
Aetna
| Professional | $36.10 | $41.83 | $41.83 | |
BCBS
| Facility | $34.59 | $49.80 | $87.47 | |
BCBS
| Professional | $22.45 | $33.02 | $44.58 | |
Cigna
| Professional | $13.89 | $50.39 | $62.98 | |
Health Alliance Plan
| Facility | $15.51 | $41.83 | $76.86 | |
Health Alliance Plan
| Professional | $15.51 | $37.86 | $52.83 | |
United
| Professional | $7.14 | $10.01 | $26.42 |