| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.61 | $47.49 | $74.00 | |
Aetna
| Professional | $44.00 | $45.23 | $90.00 | |
BCBS
| Facility | $37.00 | $53.28 | $93.59 | |
BCBS
| Professional | $33.56 | $35.33 | $47.70 | |
CareSource
| Facility | $26.50 | $35.33 | $82.46 | |
CareSource
| Professional | $22.96 | $22.96 | $35.33 | |
Cigna
| Professional | $18.79 | $40.60 | $50.75 | |
Health Alliance Plan
| Facility | $35.33 | $45.23 | $96.90 | |
Health Alliance Plan
| Professional | $35.33 | $45.22 | $80.00 | |
Molina
| Professional | $26.33 | $29.26 | $39.50 | |
United
| Professional | $15.90 | $24.77 | $29.96 |