| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.27 | $286.27 | $446.60 | |
Aetna
| Professional | $257.64 | $286.27 | $286.27 | |
BCBS
| Facility | $200.75 | $200.75 | $211.32 | |
BCBS
| Professional | $200.75 | $211.32 | $235.05 | |
Cigna
| Professional | $367.16 | $367.16 | $458.95 | |
Health Alliance Plan
| Facility | $286.27 | $286.27 | $526.04 | |
Health Alliance Plan
| Professional | $286.27 | $289.30 | $361.62 | |
United
| Professional | $126.57 | $180.81 | $301.35 |