| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.48 | $247.48 | $386.07 | |
Aetna
| Professional | $222.73 | $247.48 | $247.48 | |
BCBS
| Facility | $182.68 | $182.68 | $182.68 | |
BCBS
| Professional | $173.55 | $182.68 | $203.20 | |
Cigna
| Professional | $317.60 | $317.60 | $397.00 | |
Health Alliance Plan
| Facility | $247.48 | $247.48 | $454.74 | |
Health Alliance Plan
| Professional | $247.48 | $250.08 | $312.60 | |
United
| Professional | $109.41 | $156.30 | $260.50 |