| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.15 | $36.15 | $36.15 | |
Aetna
| Professional | $25.61 | $31.12 | $36.15 | |
BCBS
| Facility | $49.80 | $49.80 | $49.80 | |
BCBS
| Professional | $47.31 | $52.29 | $62.25 | |
Cigna
| Professional | $29.76 | $29.76 | $45.24 | |
Health Alliance Plan
| Facility | $34.06 | $35.47 | $36.21 | |
Health Alliance Plan
| Professional | $31.12 | $35.47 | $44.78 | |
Molina
| Professional | $27.68 | $34.36 | $49.63 | |
United
| Professional | $33.97 | $40.49 | $56.12 |