| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.78 | $79.63 | $86.19 | |
BCBS
| Facility | $98.42 | $98.42 | $98.42 | |
BCBS
| Professional | $93.50 | $103.34 | $132.87 | |
Cigna
| Professional | $47.24 | $47.24 | $142.50 | |
Health Alliance Plan
| Professional | $59.35 | $79.63 | $92.11 | |
Molina
| Professional | $16.48 | $18.96 | $29.68 | |
United
| Professional | $38.45 | $46.22 | $65.95 |