| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.48 | $332.14 | $518.14 | |
Aetna
| Professional | $297.18 | $350.00 | $524.42 | |
BCBS
| Facility | $232.92 | $232.92 | $245.18 | |
BCBS
| Professional | $232.92 | $245.18 | $272.70 | |
Cigna
| Professional | $426.22 | $532.78 | $786.65 | |
Health Alliance Plan
| Facility | $332.14 | $332.14 | $610.30 | |
Health Alliance Plan
| Professional | $335.64 | $335.64 | $419.54 | |
United
| Facility | $146.84 | $314.66 | $419.54 | |
United
| Professional | $146.84 | $209.77 | $349.62 |