| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.78 | $28.78 | $62.00 | |
Aetna
| Professional | $21.10 | $25.20 | $31.40 | |
BCBS
| Facility | $41.34 | $41.34 | $41.34 | |
BCBS
| Professional | $37.21 | $41.34 | $51.68 | |
Cigna
| Professional | $30.68 | $44.04 | $70.01 | |
Health Alliance Plan
| Facility | $25.79 | $25.79 | $28.78 | |
Health Alliance Plan
| Professional | $22.29 | $27.17 | $54.03 | |
Molina
| Professional | $26.80 | $33.50 | $47.07 | |
United
| Professional | $25.03 | $28.99 | $41.15 |