| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.30 | $24.10 | $24.94 | |
BCBS
| Professional | $18.07 | $19.79 | $25.69 | |
Cigna
| Professional | $12.78 | $27.54 | $57.08 | |
Health Alliance Plan
| Facility | $22.90 | $22.90 | $44.28 | |
Health Alliance Plan
| Professional | $20.30 | $28.44 | $43.12 | |
Molina
| Professional | $21.00 | $23.10 | $37.79 | |
United
| Professional | $15.22 | $29.85 | $35.85 |