| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $812.83 | |
Aetna
| Professional | $309.03 | $380.19 | $549.54 | |
BCBS
| Facility | $346.74 | $524.81 | $933.25 | |
BCBS
| Professional | $331.13 | $346.74 | $346.74 | |
Cigna
| Professional | $275.42 | $562.34 | $707.95 | |
Health Alliance Plan
| Facility | $446.68 | $446.68 | $1,122.02 | |
Health Alliance Plan
| Professional | $380.19 | $467.74 | $630.96 | |
Priority Health
| Professional | $275.42 | $275.42 | $562.34 | |
United
| Facility | $416.87 | $467.74 | $562.34 | |
United
| Professional | $194.98 | $281.84 | $467.74 |