| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.73 | $58.73 | $58.73 | |
Aetna
| Professional | $42.13 | $49.84 | $58.73 | |
BCBS
| Facility | $82.17 | $82.17 | $82.17 | |
BCBS
| Professional | $78.06 | $86.28 | $102.71 | |
Cigna
| Professional | $49.10 | $49.10 | $73.81 | |
Health Alliance Plan
| Facility | $55.74 | $55.74 | $58.73 | |
Health Alliance Plan
| Professional | $50.59 | $55.74 | $74.09 | |
Molina
| Professional | $55.37 | $68.73 | $99.27 | |
United
| Professional | $52.78 | $63.91 | $82.20 |