| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $10.94 | $22.00 | |
BCBS
| Facility | $25.79 | $44.80 | $84.72 | |
Cigna
| Professional | $12.39 | $12.39 | $12.39 | |
Health Alliance Plan
| Facility | $5.08 | $5.08 | $5.08 | |
Health Alliance Plan
| Professional | $5.08 | $5.08 | $7.51 | |
United
| Professional | $15.75 | $17.80 | $19.53 |