| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.91 | $688.75 | $1,074.45 | |
Aetna
| Professional | $619.88 | $623.50 | $1,087.50 | |
BCBS
| Facility | $508.41 | $508.41 | $508.41 | |
BCBS
| Professional | $482.99 | $508.41 | $565.50 | |
Cigna
| Professional | $883.41 | $883.41 | $1,104.26 | |
Health Alliance Plan
| Facility | $688.75 | $688.75 | $1,265.58 | |
Health Alliance Plan
| Professional | $696.00 | $696.00 | $870.00 | |
United
| Professional | $304.50 | $435.00 | $725.00 |