| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $46.88 | $241.65 | |
Aetna
| Professional | $37.45 | $41.88 | $57.59 | |
Ambetter
| Professional | $49.01 | $49.01 | $49.01 | |
BCBS
| Facility | $28.21 | $55.28 | $102.38 | |
BCBS
| Professional | $51.15 | $58.04 | $69.09 | |
Cigna
| Professional | $36.19 | $59.12 | $156.82 | |
Health Alliance Plan
| Facility | $41.67 | $46.88 | $241.65 | |
Health Alliance Plan
| Professional | $38.00 | $45.71 | $60.33 | |
Molina
| Professional | $27.57 | $33.83 | $49.63 | |
United
| Professional | $41.03 | $46.92 | $66.92 |