| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.41 | $49.03 | $53.88 | |
BCBS
| Facility | $62.84 | $62.84 | $62.84 | |
BCBS
| Professional | $59.70 | $65.98 | $84.83 | |
Cigna
| Professional | $29.54 | $29.54 | $90.94 | |
Health Alliance Plan
| Professional | $37.74 | $49.57 | $60.36 | |
Molina
| Professional | $9.07 | $10.43 | $15.01 | |
United
| Professional | $24.04 | $29.51 | $41.98 |