| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.59 | $63.57 | $69.67 | |
BCBS
| Facility | $83.47 | $83.47 | $83.47 | |
BCBS
| Professional | $79.30 | $87.64 | $112.68 | |
Cigna
| Professional | $37.88 | $37.88 | $120.94 | |
Health Alliance Plan
| Professional | $50.13 | $63.57 | $74.63 | |
Molina
| Professional | $3.88 | $6.98 | $17.65 | |
United
| Professional | $30.83 | $39.19 | $55.76 |