| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.57 | $184.02 | $287.07 | |
Aetna
| Professional | $165.62 | $230.03 | $2,499.00 | |
BCBS
| Facility | $164.49 | $164.49 | $173.15 | |
BCBS
| Professional | $117.74 | $173.15 | $233.75 | |
Cigna
| Professional | $120.29 | $283.73 | $354.66 | |
Health Alliance Plan
| Facility | $184.02 | $184.02 | $338.14 | |
Health Alliance Plan
| Professional | $197.40 | $197.40 | $296.30 | |
United
| Professional | $81.36 | $116.23 | $130.78 |