| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.22 | $19.22 | $59.97 | |
Aetna
| Professional | $19.22 | $19.22 | $19.22 | |
BCBS
| Facility | $22.89 | $39.77 | $75.20 | |
Cigna
| Professional | $15.28 | $20.43 | $20.43 | |
Health Alliance Plan
| Facility | $20.23 | $24.03 | $53.48 | |
Health Alliance Plan
| Professional | $19.22 | $20.23 | $24.28 |