| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.01 | $159.41 | $177.96 | |
BCBS
| Facility | $218.26 | $218.26 | $218.26 | |
BCBS
| Professional | $207.35 | $229.17 | $294.64 | |
Cigna
| Professional | $91.84 | $91.84 | $316.41 | |
Health Alliance Plan
| Professional | $131.10 | $157.83 | $198.78 | |
Molina
| Professional | $181.00 | $208.15 | $325.80 | |
United
| Professional | $74.73 | $98.42 | $145.84 |