| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $536.96 | $572.57 | $893.21 | |
Aetna
| Professional | $482.16 | $482.16 | $715.71 | |
BCBS
| Facility | $401.52 | $401.52 | $422.65 | |
BCBS
| Professional | $401.52 | $422.65 | $470.11 | |
Cigna
| Professional | $734.73 | $734.73 | $918.41 | |
Health Alliance Plan
| Facility | $572.57 | $572.57 | $1,052.09 | |
Health Alliance Plan
| Professional | $578.59 | $578.59 | $723.24 | |
United
| Professional | $253.13 | $361.62 | $602.70 |