| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.01 | $77.79 | $121.35 | |
Aetna
| Professional | $67.14 | $77.79 | $77.79 | |
BCBS
| Facility | $64.01 | $91.78 | $162.66 | |
BCBS
| Professional | $41.76 | $61.41 | $82.90 | |
Cigna
| Professional | $53.21 | $94.16 | $120.67 | |
Health Alliance Plan
| Facility | $72.95 | $77.79 | $142.94 | |
Health Alliance Plan
| Professional | $73.69 | $89.42 | $102.35 | |
Molina
| Professional | $61.01 | $67.79 | $91.51 | |
United
| Professional | $34.39 | $49.13 | $60.04 |