| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.15 | $852.15 | $1,329.35 | |
Aetna
| Professional | $735.54 | $852.15 | $852.15 | |
BCBS
| Facility | $629.02 | $629.02 | $629.02 | |
BCBS
| Professional | $427.73 | $629.02 | $849.18 | |
Cigna
| Professional | $1,030.84 | $1,093.21 | $1,366.51 | |
Health Alliance Plan
| Facility | $852.15 | $852.15 | $1,565.83 | |
Health Alliance Plan
| Professional | $852.15 | $861.12 | $1,076.40 | |
United
| Professional | $376.74 | $538.20 | $897.00 |