| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.42 | $16.42 | $107.00 | |
Aetna
| Professional | $10.67 | $16.42 | $16.42 | |
BCBS
| Facility | $24.39 | $48.49 | $93.68 | |
BCBS
| Professional | $16.39 | $17.25 | $17.25 | |
Cigna
| Professional | $10.19 | $10.94 | $12.96 | |
Health Alliance Plan
| Facility | $0.10 | $0.11 | $16.42 | |
Health Alliance Plan
| Professional | $13.43 | $15.11 | $20.22 | |
United
| Professional | $8.61 | $13.50 | $21.38 |