| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $263.03 | $478.63 | |
Aetna
| Professional | $181.97 | $234.42 | $331.13 | |
BCBS
| Facility | $190.55 | $190.55 | $190.55 | |
BCBS
| Professional | $181.97 | $190.55 | $190.55 | |
Cigna
| Professional | $331.13 | $331.13 | $416.87 | |
Health Alliance Plan
| Facility | $263.03 | $263.03 | $660.69 | |
Health Alliance Plan
| Professional | $223.87 | $275.42 | $371.54 | |
Priority Health
| Professional | $331.13 | $331.13 | $331.13 | |
United
| Facility | $245.47 | $275.42 | $331.13 | |
United
| Professional | $114.82 | $165.96 | $275.42 |