| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.94 | $395.94 | $617.66 | |
Aetna
| Professional | $354.26 | $395.94 | $395.94 | |
BCBS
| Facility | $292.27 | $292.27 | $292.27 | |
BCBS
| Professional | $277.66 | $292.27 | $325.08 | |
Cigna
| Professional | $507.99 | $507.99 | $634.99 | |
Health Alliance Plan
| Facility | $395.94 | $395.94 | $727.54 | |
Health Alliance Plan
| Professional | $395.94 | $400.11 | $500.13 | |
United
| Professional | $175.05 | $250.07 | $416.78 |