| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.19 | $19.19 | $29.94 | |
Aetna
| Professional | $16.55 | $19.19 | $19.19 | |
BCBS
| Facility | $15.87 | $22.85 | $40.13 | |
BCBS
| Professional | $10.30 | $15.15 | $20.45 | |
Cigna
| Professional | $14.10 | $23.13 | $28.91 | |
Health Alliance Plan
| Facility | $18.23 | $19.19 | $35.26 | |
Health Alliance Plan
| Professional | $18.18 | $22.05 | $26.30 | |
Molina
| Professional | $15.05 | $16.73 | $22.58 | |
United
| Professional | $8.48 | $12.12 | $14.37 |