| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $721.10 | $721.10 | $1,124.92 | |
Aetna
| Professional | $645.19 | $721.10 | $721.10 | |
BCBS
| Facility | $532.29 | $532.29 | $532.29 | |
BCBS
| Professional | $505.68 | $532.29 | $592.05 | |
Cigna
| Professional | $925.12 | $925.12 | $1,156.40 | |
Health Alliance Plan
| Facility | $721.10 | $721.10 | $1,325.02 | |
Health Alliance Plan
| Professional | $721.10 | $728.69 | $910.86 | |
United
| Facility | $759.05 | $759.05 | $759.05 | |
United
| Professional | $318.80 | $455.43 | $759.05 |