| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.95 | $84.55 | $84.55 | |
Aetna
| Professional | $61.09 | $73.78 | $87.93 | |
Ambetter
| Professional | $83.37 | $83.37 | $83.37 | |
BCBS
| Facility | $80.87 | $111.05 | $111.05 | |
BCBS
| Professional | $99.95 | $111.05 | $138.81 | |
Cigna
| Professional | $70.70 | $89.35 | $156.65 | |
Health Alliance Plan
| Facility | $76.95 | $82.04 | $84.55 | |
Health Alliance Plan
| Professional | $65.29 | $80.80 | $93.22 | |
Molina
| Professional | $53.66 | $67.28 | $94.57 | |
United
| Professional | $82.63 | $95.68 | $118.74 |