| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.82 | $71.98 | $85.04 | |
BCBS
| Facility | $105.11 | $105.11 | $105.11 | |
BCBS
| Professional | $99.85 | $110.37 | $141.90 | |
Cigna
| Professional | $39.15 | $39.15 | $152.34 | |
Health Alliance Plan
| Professional | $63.14 | $74.58 | $93.22 | |
Molina
| Professional | $3.88 | $6.98 | $14.93 | |
United
| Professional | $31.87 | $49.36 | $81.09 |