| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,644.00 | $5,644.00 | $5,644.00 | |
BCBS
| Professional | $3,297.63 | $3,644.75 | $4,686.10 | |
Cigna
| Professional | $6,032.69 | $6,459.75 | $7,540.86 | |
Health Alliance Plan
| Facility | $8,640.84 | $8,640.84 | $8,640.84 | |
Health Alliance Plan
| Professional | $2,412.71 | $2,412.71 | $5,780.48 | |
United
| Professional | $1,055.57 | $1,507.95 | $2,136.26 |