| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.17 | $56.17 | $123.00 | |
Aetna
| Professional | $41.91 | $48.88 | $61.23 | |
BCBS
| Facility | $81.67 | $81.67 | $81.67 | |
BCBS
| Professional | $73.50 | $81.67 | $102.09 | |
Cigna
| Professional | $59.84 | $72.02 | $117.42 | |
Health Alliance Plan
| Facility | $51.34 | $51.34 | $56.17 | |
Health Alliance Plan
| Professional | $43.50 | $54.07 | $89.00 | |
Molina
| Professional | $54.60 | $67.47 | $94.67 | |
United
| Professional | $49.71 | $57.70 | $81.02 |