| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $208.93 | $281.84 | |
Aetna
| Professional | $30.20 | $47.86 | $389.05 | |
Cigna
| Professional | $120.23 | $229.09 | $1,071.52 | |
Health Alliance Plan
| Facility | $208.93 | $208.93 | $269.15 | |
Health Alliance Plan
| Professional | $44.67 | $239.88 | $398.11 | |
Priority Health
| Professional | $117.49 | $213.80 | $1,071.52 | |
United
| Professional | $41.69 | $53.70 | $79.43 |