| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.31 | $442.86 | $690.86 | |
Aetna
| Professional | $372.94 | $398.57 | $775.01 | |
BCBS
| Facility | $422.42 | $576.98 | $876.00 | |
BCBS
| Professional | $332.15 | $349.63 | $374.10 | |
Cigna
| Professional | $272.70 | $568.29 | $1,048.88 | |
Health Alliance Plan
| Facility | $441.23 | $442.86 | $813.76 | |
Health Alliance Plan
| Professional | $447.52 | $447.52 | $629.33 | |
United
| Professional | $195.79 | $279.70 | $466.17 |