| 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 | $222.94 | $310.87 | $545.99 | |
BCBS
| Professional | $195.81 | $206.12 | $220.55 | |
Cigna
| Professional | $334.94 | $334.94 | $418.68 | |
Health Alliance Plan
| Facility | $236.66 | $261.08 | $479.75 | |
Health Alliance Plan
| Professional | $236.66 | $261.08 | $329.79 | |
United
| Professional | $103.54 | $147.91 | $246.52 |