| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.57 | $10.57 | $10.57 | |
Aetna
| Professional | $6.25 | $10.57 | $11.10 | |
BCBS
| Facility | $20.14 | $41.86 | $79.56 | |
BCBS
| Professional | $13.19 | $14.44 | $18.73 | |
Cigna
| Professional | $7.09 | $7.09 | $20.16 | |
Health Alliance Plan
| Facility | $10.02 | $10.02 | $11.52 | |
Health Alliance Plan
| Professional | $9.59 | $10.02 | $16.66 | |
Molina
| Professional | $8.69 | $9.99 | $15.64 | |
United
| Professional | $4.91 | $6.52 | $9.92 |