| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.03 | $57.03 | $57.03 | |
Aetna
| Professional | $40.28 | $49.22 | $57.03 | |
BCBS
| Facility | $78.68 | $78.68 | $78.68 | |
BCBS
| Professional | $74.75 | $82.61 | $98.35 | |
Cigna
| Professional | $47.02 | $47.02 | $70.01 | |
Health Alliance Plan
| Facility | $54.96 | $55.59 | $57.03 | |
Health Alliance Plan
| Professional | $49.22 | $55.59 | $71.44 | |
Molina
| Professional | $27.68 | $34.36 | $49.63 | |
United
| Professional | $53.14 | $64.19 | $87.92 |