| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $367.95 | $421.14 | $574.00 | |
Aetna
| Professional | $367.95 | $421.14 | $421.14 | |
BCBS
| Facility | $310.87 | $310.87 | $310.87 | |
BCBS
| Professional | $295.33 | $310.87 | $345.78 | |
Cigna
| Professional | $443.15 | $443.15 | $553.94 | |
Health Alliance Plan
| Facility | $379.03 | $421.14 | $676.11 | |
Health Alliance Plan
| Professional | $421.14 | $425.58 | $531.97 | |
United
| Professional | $186.19 | $265.99 | $443.31 |