| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $912.01 | |
Aetna
| Professional | $354.81 | $446.68 | $630.96 | |
BCBS
| Facility | $371.54 | $371.54 | $371.54 | |
BCBS
| Professional | $354.81 | $371.54 | $371.54 | |
Cigna
| Professional | $645.65 | $645.65 | $812.83 | |
Health Alliance Plan
| Facility | $501.19 | $501.19 | $1,258.93 | |
Health Alliance Plan
| Professional | $436.52 | $524.81 | $707.95 | |
Priority Health
| Professional | $645.65 | $645.65 | $645.65 | |
United
| Facility | $478.63 | $524.81 | $630.96 | |
United
| Professional | $223.87 | $316.23 | $524.81 |