| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.65 | $218.97 | $218.97 | |
BCBS
| Professional | $31.33 | $34.29 | $44.52 | |
Cigna
| Professional | $23.12 | $23.12 | $60.94 | |
Health Alliance Plan
| Facility | $76.75 | $76.75 | $76.75 | |
Health Alliance Plan
| Professional | $28.44 | $28.44 | $59.79 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $13.10 | $18.47 | $26.38 |