| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.49 | $127.42 | $198.78 | |
Aetna
| Professional | $107.30 | $114.01 | $159.28 | |
BCBS
| Facility | $94.06 | $94.06 | $94.06 | |
BCBS
| Professional | $89.36 | $94.06 | $104.62 | |
Cigna
| Professional | $163.55 | $163.55 | $204.44 | |
Health Alliance Plan
| Facility | $127.42 | $127.42 | $234.13 | |
Health Alliance Plan
| Professional | $128.76 | $128.76 | $160.94 | |
United
| Professional | $56.33 | $80.48 | $134.13 |