| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.45 | $44.10 | $46.60 | |
BCBS
| Facility | $57.60 | $57.60 | $57.60 | |
BCBS
| Professional | $54.72 | $60.48 | $77.76 | |
Cigna
| Professional | $23.63 | $23.63 | $83.44 | |
Health Alliance Plan
| Professional | $34.58 | $44.10 | $51.05 | |
Molina
| Professional | $10.67 | $12.27 | $19.20 | |
United
| Professional | $19.23 | $26.56 | $34.61 |