| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.11 | $13.11 | $13.11 | |
Aetna
| Professional | $7.76 | $13.11 | $13.77 | |
BCBS
| Facility | $24.99 | $51.93 | $98.70 | |
BCBS
| Professional | $16.36 | $17.91 | $22.39 | |
Cigna
| Professional | $8.78 | $8.78 | $24.84 | |
Health Alliance Plan
| Facility | $12.44 | $12.44 | $14.30 | |
Health Alliance Plan
| Professional | $11.91 | $12.44 | $20.66 | |
Molina
| Professional | $10.79 | $12.40 | $19.42 | |
United
| Professional | $6.09 | $8.08 | $12.53 |