| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.81 | $20.81 | $32.46 | |
Aetna
| Professional | $17.96 | $20.81 | $20.81 | |
BCBS
| Facility | $17.21 | $24.78 | $43.52 | |
BCBS
| Professional | $11.17 | $16.43 | $22.18 | |
Cigna
| Professional | $12.96 | $25.19 | $31.49 | |
Health Alliance Plan
| Facility | $13.59 | $20.81 | $38.24 | |
Health Alliance Plan
| Professional | $13.59 | $20.81 | $26.28 | |
Molina
| Professional | $16.31 | $18.13 | $24.47 | |
United
| Professional | $6.26 | $8.68 | $13.14 |