| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.88 | $60.95 | $60.95 | |
Aetna
| Professional | $40.79 | $50.86 | $60.95 | |
BCBS
| Facility | $57.58 | $73.70 | $73.70 | |
BCBS
| Professional | $66.33 | $73.70 | $92.13 | |
Cigna
| Professional | $50.63 | $63.67 | $114.78 | |
Health Alliance Plan
| Facility | $51.88 | $60.38 | $60.95 | |
Health Alliance Plan
| Professional | $42.81 | $56.89 | $66.03 | |
Molina
| Professional | $53.66 | $67.28 | $94.57 | |
United
| Professional | $60.69 | $70.98 | $91.16 |