| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.00 | $20.00 | $40.00 | |
BCBS
| Facility | $29.18 | $60.64 | $115.26 | |
BCBS
| Professional | $19.10 | $20.91 | $26.14 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Health Alliance Plan
| Professional | $9.00 | $20.00 | $40.00 | |
Molina
| Professional | $30.00 | $30.00 | $75.00 |