| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.54 | $88.37 | $110.39 | |
BCBS
| Facility | $109.23 | $109.23 | $109.23 | |
BCBS
| Professional | $103.77 | $114.69 | $147.46 | |
Cigna
| Professional | $49.33 | $49.33 | $158.44 | |
Health Alliance Plan
| Professional | $65.61 | $88.37 | $110.39 | |
Molina
| Professional | $16.48 | $18.96 | $29.68 | |
United
| Professional | $40.15 | $51.28 | $65.67 |