| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.68 | $12.68 | $15.97 | |
Aetna
| Professional | $12.67 | $12.68 | $13.94 | |
BCBS
| Facility | $25.79 | $44.80 | $84.72 | |
Cigna
| Professional | $11.97 | $11.97 | $15.57 | |
Health Alliance Plan
| Facility | $12.04 | $12.68 | $23.23 | |
Health Alliance Plan
| Professional | $12.04 | $12.67 | $14.44 | |
United
| Professional | $51.46 | $54.60 | $61.75 |