| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $234.42 | $436.52 | |
Aetna
| Professional | $165.96 | $204.17 | $295.12 | |
BCBS
| Facility | $186.21 | $281.84 | $489.78 | |
Cigna
| Professional | $302.00 | $302.00 | $380.19 | |
Health Alliance Plan
| Facility | $234.42 | $234.42 | $588.84 | |
Health Alliance Plan
| Professional | $204.17 | $251.19 | $338.84 | |
Priority Health
| Professional | $302.00 | $302.00 | $302.00 | |
United
| Facility | $223.87 | $251.19 | $295.12 | |
United
| Professional | $104.71 | $147.91 | $251.19 |