| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.02 | $80.84 | $87.85 | |
BCBS
| Facility | $99.93 | $99.93 | $99.93 | |
BCBS
| Professional | $94.93 | $104.93 | $134.91 | |
Cigna
| Professional | $45.83 | $45.83 | $144.84 | |
Health Alliance Plan
| Professional | $60.27 | $80.84 | $92.18 | |
Molina
| Professional | $16.48 | $18.96 | $29.68 | |
United
| Professional | $37.29 | $46.93 | $70.81 |