| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.21 | $71.77 | $74.73 | |
BCBS
| Facility | $88.72 | $88.72 | $88.72 | |
BCBS
| Professional | $84.28 | $93.16 | $119.77 | |
Cigna
| Professional | $36.14 | $36.14 | $128.44 | |
Health Alliance Plan
| Professional | $53.27 | $67.55 | $81.45 | |
Molina
| Professional | $10.67 | $12.27 | $19.20 | |
United
| Professional | $29.42 | $40.90 | $59.27 |