| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6,152.00 | $6,152.00 | $6,152.00 | |
BCBS
| Professional | $3,620.73 | $4,001.85 | $5,145.24 | |
Cigna
| Professional | $2,311.96 | $2,311.96 | $2,889.96 | |
Health Alliance Plan
| Facility | $9,487.46 | $9,487.46 | $9,487.46 | |
Health Alliance Plan
| Professional | $1,821.12 | $1,821.12 | $6,152.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $796.74 | $1,138.20 | $1,897.00 |