| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.62 | $21.62 | $67.45 | |
Aetna
| Professional | $21.62 | $21.62 | $21.62 | |
BCBS
| Facility | $40.89 | $77.34 | $148.40 | |
Cigna
| Professional | $22.97 | $22.97 | $22.97 | |
Health Alliance Plan
| Facility | $14.36 | $27.02 | $60.16 | |
Health Alliance Plan
| Professional | $21.62 | $22.97 | $27.56 | |
United
| Professional | $22.52 | $22.52 | $23.89 |