| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.85 | $20.86 | $30.00 | |
Aetna
| Professional | $18.01 | $19.92 | $30.15 | |
BCBS
| Facility | $17.25 | $24.84 | $43.63 | |
BCBS
| Professional | $11.20 | $16.47 | $22.23 | |
Cigna
| Professional | $13.97 | $25.19 | $31.49 | |
Health Alliance Plan
| Facility | $20.85 | $20.86 | $38.33 | |
Health Alliance Plan
| Professional | $19.55 | $26.35 | $32.54 | |
Molina
| Professional | $16.36 | $18.18 | $24.54 | |
United
| Professional | $9.22 | $17.60 | $19.05 |