| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.05 | $74.05 | $110.39 | |
Aetna
| Professional | $47.34 | $53.04 | $64.98 | |
BCBS
| Facility | $39.51 | $73.00 | $143.35 | |
BCBS
| Professional | $67.00 | $75.81 | $90.26 | |
Cigna
| Professional | $47.45 | $76.27 | $201.42 | |
Health Alliance Plan
| Facility | $52.73 | $74.05 | $110.39 | |
Health Alliance Plan
| Professional | $47.89 | $55.40 | $75.31 | |
Molina
| Professional | $27.68 | $33.83 | $49.63 | |
United
| Professional | $50.06 | $58.43 | $84.25 |