| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.74 | $268.74 | $419.23 | |
Aetna
| Professional | $241.87 | $268.74 | $268.74 | |
BCBS
| Facility | $198.37 | $198.37 | $198.37 | |
BCBS
| Professional | $188.45 | $198.37 | $220.65 | |
Cigna
| Professional | $344.86 | $344.86 | $431.08 | |
Health Alliance Plan
| Facility | $268.74 | $268.74 | $493.81 | |
Health Alliance Plan
| Professional | $268.74 | $271.56 | $339.45 | |
United
| Professional | $118.81 | $169.73 | $282.88 |