| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.48 | $155.13 | $180.63 | |
BCBS
| Facility | $223.26 | $223.26 | $223.26 | |
BCBS
| Professional | $212.10 | $234.42 | $301.39 | |
Cigna
| Professional | $86.76 | $86.76 | $323.44 | |
Health Alliance Plan
| Professional | $134.08 | $158.37 | $193.43 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $70.59 | $102.97 | $149.16 |