| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $606.36 | $606.36 | $606.36 | |
Aetna
| Professional | $372.16 | $606.36 | $606.36 | |
BCBS
| Facility | $648.71 | $648.71 | $648.71 | |
BCBS
| Professional | $616.27 | $681.15 | $875.76 | |
Cigna
| Professional | $553.47 | $580.62 | $611.17 | |
Health Alliance Plan
| Facility | $570.72 | $570.72 | $606.36 | |
Health Alliance Plan
| Professional | $570.72 | $570.72 | $723.11 | |
United
| Professional | $513.07 | $663.97 | $934.77 |