| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.50 | $902.50 | $1,407.90 | |
Aetna
| Professional | $779.00 | $902.50 | $902.50 | |
BCBS
| Facility | $666.19 | $666.19 | $666.19 | |
BCBS
| Professional | $453.01 | $666.19 | $666.19 | |
Cigna
| Professional | $950.00 | $1,157.64 | $1,447.05 | |
Health Alliance Plan
| Facility | $902.50 | $902.50 | $1,658.34 | |
Health Alliance Plan
| Professional | $902.50 | $912.00 | $1,140.00 | |
United
| Professional | $399.00 | $570.00 | $950.00 |