| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.57 | $101.88 | $126.49 | |
BCBS
| Facility | $126.20 | $126.20 | $126.20 | |
BCBS
| Professional | $119.89 | $132.51 | $170.37 | |
Cigna
| Professional | $57.66 | $57.66 | $182.81 | |
Health Alliance Plan
| Professional | $76.09 | $102.10 | $127.03 | |
Molina
| Professional | $16.48 | $18.96 | $29.68 | |
United
| Professional | $46.92 | $59.26 | $75.86 |