| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $28.97 | |
Aetna
| Professional | $28.96 | $28.97 | $50.00 | |
BCBS
| Facility | $34.60 | $62.34 | $117.92 | |
BCBS
| Professional | $27.09 | $27.09 | $28.52 | |
Cigna
| Professional | $26.66 | $31.94 | $31.94 | |
Health Alliance Plan
| Facility | $28.97 | $30.58 | $39.99 | |
Health Alliance Plan
| Professional | $28.96 | $30.58 | $41.28 | |
Molina
| Professional | $37.22 | $37.22 | $48.55 | |
United
| Professional | $32.38 | $34.36 | $40.03 |