| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $426.58 | $794.33 | |
Aetna
| Professional | $302.00 | $380.19 | $537.03 | |
BCBS
| Facility | $316.23 | $316.23 | $316.23 | |
BCBS
| Professional | $302.00 | $316.23 | $316.23 | |
Cigna
| Professional | $549.54 | $549.54 | $691.83 | |
Health Alliance Plan
| Facility | $426.58 | $426.58 | $1,071.52 | |
Health Alliance Plan
| Professional | $363.08 | $446.68 | $616.60 | |
Priority Health
| Professional | $549.54 | $549.54 | $549.54 | |
United
| Facility | $407.38 | $446.68 | $537.03 | |
United
| Professional | $190.55 | $269.15 | $446.68 |