| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.60 | $63.49 | $63.49 | |
Aetna
| Professional | $42.34 | $51.60 | $63.49 | |
Ambetter
| Professional | $53.46 | $53.46 | $62.89 | |
BCBS
| Facility | $61.87 | $73.20 | $73.20 | |
BCBS
| Professional | $69.54 | $76.13 | $98.82 | |
Cigna
| Professional | $50.23 | $65.76 | $119.01 | |
Health Alliance Plan
| Facility | $51.60 | $62.37 | $63.49 | |
Health Alliance Plan
| Professional | $43.95 | $57.98 | $70.37 | |
Molina
| Professional | $53.66 | $67.28 | $94.57 | |
United
| Professional | $62.74 | $72.83 | $90.17 |