| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.59 | $62.25 | $65.09 | |
BCBS
| Facility | $77.70 | $77.70 | $77.70 | |
BCBS
| Professional | $73.81 | $81.59 | $104.91 | |
Cigna
| Professional | $33.32 | $33.32 | $112.50 | |
Health Alliance Plan
| Professional | $46.68 | $62.25 | $68.41 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $28.86 | $36.50 | $55.00 |