| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $645.65 | $1,174.90 | |
Aetna
| Professional | $457.09 | $575.44 | $812.83 | |
BCBS
| Facility | $478.63 | $478.63 | $478.63 | |
BCBS
| Professional | $446.68 | $478.63 | $478.63 | |
Cigna
| Professional | $831.76 | $831.76 | $1,023.29 | |
Health Alliance Plan
| Facility | $645.65 | $645.65 | $1,621.81 | |
Health Alliance Plan
| Professional | $549.54 | $676.08 | $912.01 | |
Priority Health
| Professional | $831.76 | $831.76 | $831.76 | |
United
| Facility | $602.56 | $676.08 | $812.83 | |
United
| Professional | $281.84 | $407.38 | $676.08 |