| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.07 | $20.27 | $37.76 | |
Aetna
| Professional | $19.11 | $25.03 | $38.15 | |
BCBS
| Facility | $29.38 | $29.38 | $301.70 | |
BCBS
| Professional | $27.91 | $30.85 | $36.72 | |
Cigna
| Professional | $26.65 | $34.52 | $50.70 | |
Health Alliance Plan
| Facility | $20.07 | $36.74 | $48.34 | |
Health Alliance Plan
| Professional | $20.07 | $36.74 | $49.59 | |
Molina
| Professional | $26.94 | $33.54 | $48.31 | |
United
| Professional | $34.94 | $41.37 | $54.43 |