| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.88 | $91.66 | $96.84 | |
BCBS
| Facility | $115.61 | $115.61 | $115.61 | |
BCBS
| Professional | $109.83 | $121.39 | $156.07 | |
Cigna
| Professional | $51.62 | $51.62 | $167.34 | |
Health Alliance Plan
| Professional | $69.70 | $91.66 | $106.62 | |
Molina
| Professional | $7.76 | $8.92 | $13.96 | |
United
| Professional | $42.01 | $54.29 | $69.51 |