| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.20 | $15.20 | $23.71 | |
Aetna
| Professional | $13.12 | $15.20 | $15.20 | |
BCBS
| Facility | $12.57 | $18.10 | $31.79 | |
BCBS
| Professional | $8.16 | $12.00 | $16.20 | |
Cigna
| Professional | $9.22 | $18.17 | $22.72 | |
Health Alliance Plan
| Facility | $14.44 | $15.20 | $27.93 | |
Health Alliance Plan
| Professional | $14.44 | $15.97 | $19.20 | |
Molina
| Professional | $11.92 | $13.25 | $17.88 | |
United
| Professional | $6.72 | $9.82 | $10.31 |