| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $616.60 | |
Aetna
| Professional | $234.42 | $295.12 | $416.87 | |
Cigna
| Professional | $426.58 | $426.58 | $537.03 | |
Health Alliance Plan
| Facility | $331.13 | $331.13 | $616.60 | |
Health Alliance Plan
| Professional | $269.15 | $331.13 | $416.87 | |
Priority Health
| Professional | $426.58 | $426.58 | $426.58 | |
United
| Facility | $346.74 | $346.74 | $346.74 | |
United
| Professional | $147.91 | $208.93 | $346.74 |