| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.36 | $428.36 | $668.24 | |
Aetna
| Professional | $385.52 | $428.36 | $428.36 | |
BCBS
| Facility | $300.39 | $300.39 | $316.20 | |
BCBS
| Professional | $300.39 | $316.20 | $351.71 | |
Cigna
| Professional | $549.70 | $687.13 | $1,014.55 | |
Health Alliance Plan
| Facility | $428.36 | $428.36 | $787.11 | |
Health Alliance Plan
| Professional | $428.36 | $432.87 | $541.09 | |
United
| Professional | $189.38 | $270.55 | $450.91 |