| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.00 | $367.50 | $484.54 | |
Aetna
| Professional | $35.00 | $52.00 | $434.00 | |
Cigna
| Professional | $285.00 | $870.48 | $1,470.00 | |
Health Alliance Plan
| Facility | $364.00 | $364.00 | $484.54 | |
Health Alliance Plan
| Professional | $52.00 | $367.50 | $504.00 | |
Molina
| Professional | $56.51 | $75.00 | $129.11 | |
United
| Professional | $42.00 | $55.00 | $83.00 |