| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.08 | $261.08 | $407.30 | |
Aetna
| Professional | $234.98 | $261.08 | $261.08 | |
BCBS
| Facility | $249.03 | $340.15 | $516.42 | |
BCBS
| Professional | $195.81 | $206.12 | $220.55 | |
Cigna
| Professional | $334.94 | $334.94 | $418.68 | |
Health Alliance Plan
| Facility | $261.08 | $261.08 | $479.75 | |
Health Alliance Plan
| Professional | $261.08 | $263.83 | $329.80 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
United
| Professional | $115.43 | $164.90 | $274.83 |