| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.70 | $78.31 | $98.64 | |
BCBS
| Facility | $67.23 | $67.23 | $129.97 | |
BCBS
| Professional | $59.61 | $123.47 | $175.46 | |
Cigna
| Professional | $65.20 | $81.20 | $165.19 | |
Health Alliance Plan
| Professional | $71.83 | $85.87 | $110.98 | |
Molina
| Professional | $30.66 | $68.35 | $116.44 | |
United
| Professional | $72.20 | $88.24 | $112.91 |