| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.00 | $570.00 | $889.20 | |
Aetna
| Professional | $513.00 | $570.00 | $570.00 | |
BCBS
| Facility | $399.71 | $399.71 | $420.75 | |
BCBS
| Professional | $399.71 | $420.75 | $468.00 | |
Cigna
| Professional | $678.04 | $731.42 | $914.28 | |
Health Alliance Plan
| Facility | $289.30 | $570.00 | $1,047.38 | |
Health Alliance Plan
| Professional | $289.30 | $322.44 | $720.00 | |
United
| Professional | $126.57 | $180.81 | $301.35 |