| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $1,318.26 | |
Aetna
| Professional | $501.19 | $630.96 | $891.25 | |
BCBS
| Facility | $524.81 | $524.81 | $524.81 | |
BCBS
| Professional | $501.19 | $524.81 | $524.81 | |
Cigna
| Professional | $870.96 | $912.01 | $1,148.15 | |
Health Alliance Plan
| Facility | $707.95 | $707.95 | $1,778.28 | |
Health Alliance Plan
| Professional | $616.60 | $758.58 | $1,023.29 | |
Priority Health
| Professional | $870.96 | $870.96 | $912.01 | |
United
| Facility | $371.54 | $758.58 | $758.58 | |
United
| Professional | $316.23 | $446.68 | $478.63 |