| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.48 | $501.48 | $782.31 | |
Aetna
| Professional | $451.33 | $501.48 | $501.48 | |
BCBS
| Facility | $370.17 | $370.17 | $370.17 | |
BCBS
| Professional | $351.66 | $370.17 | $411.74 | |
Cigna
| Professional | $643.45 | $643.45 | $804.31 | |
Health Alliance Plan
| Facility | $501.48 | $501.48 | $921.47 | |
Health Alliance Plan
| Professional | $501.48 | $506.76 | $633.44 | |
United
| Professional | $221.71 | $316.72 | $527.87 |