| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $338.84 | |
Aetna
| Professional | $134.90 | $169.82 | $234.42 | |
BCBS
| Facility | $173.78 | $173.78 | $173.78 | |
BCBS
| Professional | $165.96 | $173.78 | $173.78 | |
Cigna
| Professional | $120.23 | $281.84 | $354.81 | |
Health Alliance Plan
| Facility | $181.97 | $181.97 | $489.78 | |
Health Alliance Plan
| Professional | $158.49 | $208.93 | $302.00 | |
Priority Health
| Professional | $120.23 | $234.42 | $281.84 | |
United
| Facility | $123.03 | $245.47 | $245.47 | |
United
| Professional | $81.28 | $123.03 | $131.83 |