| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.03 | $59.03 | $136.88 | |
Aetna
| Professional | $50.95 | $59.03 | $59.03 | |
BCBS
| Facility | $48.82 | $70.30 | $123.47 | |
BCBS
| Professional | $31.69 | $46.61 | $62.92 | |
Cigna
| Professional | $32.68 | $64.88 | $81.09 | |
Health Alliance Plan
| Facility | $45.71 | $59.03 | $136.88 | |
Health Alliance Plan
| Professional | $45.71 | $53.44 | $74.56 | |
United
| Professional | $20.39 | $29.15 | $39.77 |