| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.66 | $10.66 | $60.00 | |
Aetna
| Professional | $6.92 | $10.66 | $10.66 | |
BCBS
| Facility | $15.83 | $31.48 | $60.83 | |
BCBS
| Professional | $10.64 | $11.20 | $11.20 | |
Cigna
| Professional | $5.09 | $7.15 | $8.42 | |
Health Alliance Plan
| Facility | $8.72 | $8.72 | $10.66 | |
Health Alliance Plan
| Professional | $8.72 | $9.81 | $13.12 | |
United
| Professional | $5.59 | $8.77 | $13.94 |