| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.33 | $47.09 | $51.61 | |
BCBS
| Facility | $63.80 | $63.80 | $63.80 | |
BCBS
| Professional | $60.61 | $66.98 | $86.13 | |
Cigna
| Professional | $26.22 | $26.22 | $92.34 | |
Health Alliance Plan
| Professional | $38.32 | $46.43 | $56.57 | |
Molina
| Professional | $3.88 | $6.98 | $14.93 | |
United
| Professional | $21.34 | $29.43 | $42.64 |