| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $16.98 | $16.98 | |
Ambetter
| Professional | $5.01 | $5.01 | $5.01 | |
BCBS
| Facility | $7.59 | $7.59 | $7.59 | |
BCBS
| Professional | $7.24 | $7.59 | $7.94 | |
Cigna
| Professional | $0.40 | $19.95 | $19.95 | |
Health Alliance Plan
| Facility | $14.79 | $16.98 | $42.66 | |
Health Alliance Plan
| Professional | $14.79 | $16.98 | $22.39 | |
Priority Health
| Professional | $0.40 | $19.95 | $19.95 |