| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.27 | $22.42 | $22.49 | |
BCBS
| Professional | $35.47 | $39.22 | $50.42 | |
Cigna
| Professional | $22.32 | $22.32 | $32.75 | |
Health Alliance Plan
| Facility | $40.92 | $40.92 | $40.92 | |
Health Alliance Plan
| Professional | $24.30 | $28.90 | $41.31 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $15.81 | $26.35 | $51.11 |