| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.36 | $80.93 | $98.98 | |
Aetna
| Professional | $8.50 | $11.00 | $16.04 | |
BCBS
| Facility | $40.44 | $81.29 | $146.76 | |
BCBS
| Professional | $25.38 | $26.72 | $36.07 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Health Alliance Plan
| Facility | $80.36 | $80.93 | $98.98 | |
Health Alliance Plan
| Professional | $11.00 | $213.44 | $213.44 |