| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.44 | $73.67 | $86.61 | |
BCBS
| Facility | $91.05 | $91.05 | $91.05 | |
BCBS
| Professional | $86.50 | $95.60 | $122.92 | |
Cigna
| Professional | $41.03 | $41.03 | $131.72 | |
Health Alliance Plan
| Professional | $54.68 | $73.67 | $89.44 | |
Molina
| Professional | $12.61 | $17.02 | $22.69 | |
United
| Professional | $33.39 | $42.65 | $57.79 |