| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.89 | $19.89 | $31.03 | |
Aetna
| Professional | $17.17 | $19.89 | $19.89 | |
BCBS
| Facility | $16.45 | $23.69 | $41.61 | |
BCBS
| Professional | $10.68 | $15.71 | $21.21 | |
Cigna
| Professional | $11.93 | $24.37 | $30.46 | |
Health Alliance Plan
| Facility | $15.50 | $19.89 | $36.54 | |
Health Alliance Plan
| Professional | $15.50 | $19.89 | $26.17 | |
Molina
| Professional | $15.60 | $17.34 | $23.40 | |
United
| Professional | $7.14 | $9.76 | $13.40 |