| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.40 | $236.08 | $368.29 | |
Aetna
| Professional | $198.81 | $198.81 | $372.77 | |
BCBS
| Facility | $202.78 | $283.56 | $493.70 | |
Cigna
| Professional | $302.73 | $378.41 | $559.15 | |
Health Alliance Plan
| Facility | $236.08 | $236.08 | $433.80 | |
Health Alliance Plan
| Professional | $238.57 | $238.57 | $322.06 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $104.37 | $149.11 | $248.51 |