| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $722.00 | $722.00 | $1,126.32 | |
Aetna
| Professional | $649.79 | $722.00 | $722.00 | |
BCBS
| Facility | $506.30 | $506.30 | $532.95 | |
BCBS
| Professional | $506.30 | $532.95 | $592.79 | |
Cigna
| Professional | $841.13 | $1,051.41 | $1,710.00 | |
Health Alliance Plan
| Facility | $722.00 | $722.00 | $1,326.67 | |
Health Alliance Plan
| Professional | $722.00 | $729.60 | $912.00 | |
United
| Facility | $760.00 | $760.00 | $912.00 | |
United
| Professional | $319.20 | $456.00 | $760.00 |