| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $798.62 | $798.62 | $1,245.84 | |
Aetna
| Professional | $689.33 | $798.62 | $798.62 | |
BCBS
| Facility | $560.03 | $560.03 | $589.51 | |
BCBS
| Professional | $560.03 | $589.51 | $795.84 | |
Cigna
| Professional | $840.65 | $1,024.65 | $1,280.81 | |
Health Alliance Plan
| Facility | $798.62 | $798.62 | $1,467.46 | |
Health Alliance Plan
| Professional | $798.62 | $807.02 | $1,008.78 | |
United
| Facility | $840.65 | $840.65 | $1,008.78 | |
United
| Professional | $353.07 | $504.39 | $840.65 |