| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.50 | $712.50 | $1,111.50 | |
Aetna
| Professional | $615.00 | $712.50 | $712.50 | |
BCBS
| Facility | $525.94 | $525.94 | $525.94 | |
BCBS
| Professional | $357.64 | $525.94 | $710.02 | |
Cigna
| Professional | $861.93 | $913.97 | $1,142.46 | |
Health Alliance Plan
| Facility | $712.50 | $712.50 | $1,309.22 | |
Health Alliance Plan
| Professional | $712.50 | $720.00 | $900.00 | |
United
| Professional | $315.00 | $450.00 | $477.00 |