| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.00 | $70.20 | $73.41 | |
BCBS
| Facility | $87.64 | $87.64 | $87.64 | |
BCBS
| Professional | $83.26 | $92.02 | $118.31 | |
Cigna
| Professional | $37.57 | $37.57 | $127.03 | |
Health Alliance Plan
| Professional | $53.83 | $70.45 | $78.54 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $30.57 | $40.42 | $58.55 |