| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $549.54 | $1,023.29 | |
Aetna
| Professional | $389.05 | $501.19 | $707.95 | |
BCBS
| Facility | $407.38 | $407.38 | $407.38 | |
BCBS
| Professional | $389.05 | $407.38 | $407.38 | |
Cigna
| Professional | $707.95 | $707.95 | $891.25 | |
Health Alliance Plan
| Facility | $549.54 | $549.54 | $1,412.54 | |
Health Alliance Plan
| Professional | $478.63 | $588.84 | $794.33 | |
Priority Health
| Professional | $707.95 | $707.95 | $707.95 | |
United
| Facility | $524.81 | $588.84 | $707.95 | |
United
| Professional | $245.47 | $354.81 | $588.84 |