| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $555.66 | $555.66 | $866.83 | |
Aetna
| Professional | $500.09 | $555.66 | $555.66 | |
BCBS
| Facility | $389.66 | $389.66 | $410.17 | |
BCBS
| Professional | $389.66 | $410.17 | $456.23 | |
Cigna
| Professional | $712.84 | $891.05 | $1,462.25 | |
Health Alliance Plan
| Facility | $555.66 | $555.66 | $1,021.03 | |
Health Alliance Plan
| Professional | $555.66 | $561.50 | $701.88 | |
United
| Professional | $245.66 | $350.94 | $584.90 |