| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.71 | $141.51 | $220.76 | |
Aetna
| Professional | $141.51 | $158.99 | $220.76 | |
BCBS
| Facility | $132.40 | $132.40 | $139.37 | |
BCBS
| Professional | $132.40 | $139.37 | $155.02 | |
Cigna
| Professional | $96.83 | $181.72 | $335.16 | |
Health Alliance Plan
| Facility | $141.51 | $141.51 | $260.02 | |
Health Alliance Plan
| Professional | $158.90 | $158.90 | $238.48 | |
United
| Professional | $62.56 | $90.87 | $165.52 |