| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $7.94 | $7.94 | |
BCBS
| Facility | $48.98 | $95.50 | $177.83 | |
BCBS
| Professional | $28.18 | $30.20 | $31.62 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
Health Alliance Plan
| Professional | $7.94 | $7.94 | $7.94 | |
Priority Health
| Professional | $20.89 | $20.89 | $20.89 |