| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.96 | $803.96 | $1,254.18 | |
Aetna
| Professional | $723.56 | $803.96 | $803.96 | |
BCBS
| Facility | $563.77 | $563.77 | $593.44 | |
BCBS
| Professional | $563.77 | $593.44 | $660.09 | |
Cigna
| Professional | $1,031.26 | $1,031.26 | $1,289.08 | |
Health Alliance Plan
| Facility | $803.96 | $803.96 | $1,477.28 | |
Health Alliance Plan
| Professional | $803.96 | $812.42 | $1,015.52 | |
United
| Professional | $355.43 | $507.76 | $846.27 |