| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.24 | $53.83 | $58.33 | |
BCBS
| Facility | $67.33 | $67.33 | $67.33 | |
BCBS
| Professional | $63.96 | $70.70 | $90.90 | |
Cigna
| Professional | $32.19 | $32.19 | $97.50 | |
Health Alliance Plan
| Professional | $40.60 | $53.83 | $65.54 | |
Molina
| Professional | $12.61 | $14.50 | $22.69 | |
United
| Professional | $26.20 | $31.61 | $44.99 |