| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.76 | $38.76 | $39.14 | |
Aetna
| Professional | $20.00 | $29.43 | $39.14 | |
Cigna
| Professional | $18.97 | $18.97 | $41.93 | |
Health Alliance Plan
| Facility | $38.76 | $38.76 | $38.76 | |
Health Alliance Plan
| Professional | $21.50 | $36.10 | $39.14 | |
Molina
| Professional | $25.00 | $30.00 | $50.00 | |
United
| Professional | $23.18 | $29.70 | $41.25 |