| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $69.18 | $69.18 | |
Aetna
| Professional | $42.66 | $53.70 | $70.79 | |
BCBS
| Facility | $79.43 | $79.43 | $79.43 | |
BCBS
| Professional | $75.86 | $79.43 | $83.18 | |
Cigna
| Professional | $54.95 | $81.28 | $125.89 | |
Health Alliance Plan
| Facility | $54.95 | $169.82 | $199.53 | |
Health Alliance Plan
| Professional | $43.65 | $57.54 | $83.18 | |
Priority Health
| Professional | $54.95 | $83.18 | $123.03 | |
United
| Professional | $56.23 | $69.18 | $91.20 |