| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.47 | $464.21 | $464.21 | |
Aetna
| Professional | $197.87 | $309.47 | $332.37 | |
BCBS
| Facility | $496.11 | $496.11 | $496.11 | |
BCBS
| Professional | $471.30 | $520.91 | $669.75 | |
Cigna
| Facility | $360.89 | $360.89 | $360.89 | |
Cigna
| Professional | $237.69 | $254.98 | $318.72 | |
Health Alliance Plan
| Facility | $324.58 | $464.21 | $731.12 | |
Health Alliance Plan
| Professional | $309.47 | $324.58 | $429.97 | |
United
| Professional | $287.39 | $349.35 | $522.19 |