| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.42 | $39.17 | $45.14 | |
BCBS
| Facility | $55.80 | $55.80 | $55.80 | |
BCBS
| Professional | $53.01 | $58.59 | $75.33 | |
Cigna
| Professional | $22.57 | $22.57 | $81.09 | |
Health Alliance Plan
| Professional | $19.42 | $39.59 | $47.42 | |
Molina
| Professional | $6.40 | $8.00 | $10.47 | |
United
| Professional | $18.37 | $26.21 | $33.54 |