| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $608.69 | $608.69 | $949.56 | |
Aetna
| Professional | $525.40 | $608.69 | $608.69 | |
BCBS
| Facility | $449.31 | $449.31 | $449.31 | |
BCBS
| Professional | $305.52 | $449.31 | $606.57 | |
Cigna
| Professional | $668.63 | $709.13 | $886.41 | |
Health Alliance Plan
| Facility | $608.69 | $608.69 | $1,118.47 | |
Health Alliance Plan
| Professional | $608.69 | $615.10 | $768.87 | |
United
| Professional | $269.11 | $384.44 | $410.07 |