| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.20 | $65.98 | $72.75 | |
BCBS
| Facility | $86.66 | $86.66 | $86.66 | |
BCBS
| Professional | $82.33 | $90.99 | $116.99 | |
Cigna
| Professional | $36.19 | $36.19 | $125.63 | |
Health Alliance Plan
| Professional | $52.06 | $66.01 | $78.34 | |
Molina
| Professional | $12.61 | $14.50 | $22.69 | |
United
| Professional | $29.45 | $39.97 | $57.93 |