| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.20 | $100.15 | $105.64 | |
BCBS
| Facility | $126.13 | $126.13 | $126.13 | |
BCBS
| Professional | $119.82 | $132.44 | $170.28 | |
Cigna
| Professional | $51.33 | $51.33 | $182.81 | |
Health Alliance Plan
| Professional | $75.73 | $96.78 | $112.53 | |
Molina
| Professional | $16.48 | $18.96 | $29.68 | |
United
| Professional | $41.77 | $58.16 | $75.81 |