| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.75 | $25.75 | $40.17 | |
Aetna
| Professional | $22.23 | $25.75 | $25.75 | |
BCBS
| Facility | $18.05 | $18.05 | $19.01 | |
BCBS
| Professional | $18.05 | $19.01 | $25.66 | |
Cigna
| Professional | $27.11 | $33.04 | $41.30 | |
Health Alliance Plan
| Facility | $25.75 | $25.75 | $47.32 | |
Health Alliance Plan
| Professional | $25.75 | $26.03 | $32.53 | |
United
| Facility | $13.56 | $27.11 | $27.11 | |
United
| Professional | $11.39 | $16.27 | $17.35 |