| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.31 | $105.69 | $114.60 | |
BCBS
| Facility | $130.63 | $130.63 | $130.63 | |
BCBS
| Professional | $124.10 | $137.16 | $176.35 | |
Cigna
| Professional | $62.26 | $62.26 | $189.38 | |
Health Alliance Plan
| Professional | $78.79 | $105.69 | $124.90 | |
Molina
| Professional | $17.75 | $20.41 | $31.95 | |
United
| Professional | $50.66 | $61.36 | $78.56 |