| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.25 | $58.23 | $63.20 | |
BCBS
| Facility | $71.98 | $71.98 | $71.98 | |
BCBS
| Professional | $68.38 | $75.58 | $97.17 | |
Cigna
| Professional | $34.54 | $34.54 | $104.53 | |
Health Alliance Plan
| Professional | $43.40 | $58.23 | $68.59 | |
Molina
| Professional | $3.88 | $6.98 | $17.65 | |
United
| Professional | $28.12 | $33.79 | $45.69 |