| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.34 | $38.34 | $38.34 | |
Aetna
| Professional | $27.31 | $32.45 | $38.34 | |
BCBS
| Facility | $53.29 | $53.29 | $53.29 | |
BCBS
| Professional | $50.63 | $55.95 | $66.61 | |
Cigna
| Professional | $31.84 | $31.84 | $47.63 | |
Health Alliance Plan
| Facility | $36.32 | $36.32 | $38.34 | |
Health Alliance Plan
| Professional | $33.04 | $36.32 | $48.30 | |
Molina
| Professional | $27.68 | $34.36 | $49.63 | |
United
| Professional | $35.20 | $41.68 | $52.97 |