| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.19 | $58.19 | $58.19 | |
Aetna
| Professional | $23.45 | $23.45 | $37.74 | |
BCBS
| Facility | $7.14 | $9.78 | $17.35 | |
Health Alliance Plan
| Facility | $31.28 | $31.28 | $58.19 | |
Health Alliance Plan
| Professional | $31.28 | $31.28 | $42.22 |