| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.78 | $40.17 | $63.06 | |
Aetna
| Professional | $38.17 | $53.68 | $67.31 | |
Ambetter
| Professional | $63.51 | $63.51 | $96.00 | |
BCBS
| Facility | $58.26 | $58.26 | $437.24 | |
BCBS
| Professional | $55.35 | $61.17 | $72.83 | |
Cigna
| Professional | $47.87 | $57.14 | $89.36 | |
Health Alliance Plan
| Facility | $39.78 | $62.77 | $83.58 | |
Health Alliance Plan
| Professional | $39.78 | $62.77 | $85.38 | |
Molina
| Professional | $54.68 | $67.88 | $96.25 | |
United
| Professional | $50.49 | $69.23 | $90.31 |