| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.17 | $84.61 | $100.78 | |
BCBS
| Facility | $104.58 | $104.58 | $104.58 | |
BCBS
| Professional | $99.35 | $109.81 | $141.18 | |
Cigna
| Professional | $49.92 | $49.92 | $151.41 | |
Health Alliance Plan
| Professional | $63.06 | $84.61 | $103.79 | |
Molina
| Professional | $16.48 | $18.96 | $29.68 | |
United
| Professional | $40.63 | $49.10 | $72.86 |