| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $16.30 | |
Aetna
| Professional | $16.30 | $16.30 | $17.93 | |
BCBS
| Facility | $24.86 | $44.80 | $84.72 | |
BCBS
| Professional | $19.47 | $19.47 | $20.49 | |
Cigna
| Professional | $13.99 | $13.99 | $25.13 | |
Health Alliance Plan
| Facility | $16.30 | $16.89 | $16.89 | |
Health Alliance Plan
| Professional | $16.30 | $16.89 | $20.67 | |
United
| Professional | $13.38 | $15.12 | $16.54 |