| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.13 | $54.46 | $64.19 | |
BCBS
| Facility | $79.34 | $79.34 | $79.34 | |
BCBS
| Professional | $75.37 | $83.31 | $107.11 | |
Cigna
| Professional | $28.56 | $28.56 | $114.84 | |
Health Alliance Plan
| Professional | $47.66 | $56.29 | $67.42 | |
Molina
| Professional | $3.88 | $6.98 | $14.93 | |
United
| Professional | $23.24 | $36.60 | $48.52 |