| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.91 | $54.78 | $62.83 | |
BCBS
| Facility | $77.66 | $77.66 | $77.66 | |
BCBS
| Professional | $73.78 | $81.54 | $104.84 | |
Cigna
| Professional | $29.38 | $29.38 | $112.50 | |
Health Alliance Plan
| Professional | $46.64 | $55.09 | $65.98 | |
Molina
| Professional | $10.67 | $12.27 | $19.20 | |
United
| Professional | $23.91 | $35.82 | $50.90 |