| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.97 | $145.71 | $165.92 | |
BCBS
| Facility | $205.09 | $205.09 | $205.09 | |
BCBS
| Professional | $194.84 | $215.34 | $276.87 | |
Cigna
| Professional | $80.93 | $80.93 | $297.19 | |
Health Alliance Plan
| Professional | $123.17 | $145.47 | $174.83 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $65.86 | $94.60 | $130.16 |