| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $478.63 | $870.96 | |
Aetna
| Professional | $338.84 | $426.58 | $602.56 | |
BCBS
| Facility | $354.81 | $354.81 | $354.81 | |
BCBS
| Professional | $338.84 | $354.81 | $354.81 | |
Cigna
| Professional | $575.44 | $616.60 | $758.58 | |
Health Alliance Plan
| Facility | $478.63 | $478.63 | $1,202.26 | |
Health Alliance Plan
| Professional | $407.38 | $501.19 | $676.08 | |
Priority Health
| Professional | $575.44 | $575.44 | $616.60 | |
United
| Facility | $251.19 | $501.19 | $501.19 | |
United
| Professional | $213.80 | $302.00 | $323.59 |