| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,906.00 | $6,906.00 | $6,906.00 | |
Aetna
| Professional | $88.53 | $100.48 | $100.48 | |
Cigna
| Professional | $66.00 | $66.00 | $82.50 | |
Health Alliance Plan
| Facility | $237.38 | $237.38 | $6,906.00 | |
Health Alliance Plan
| Professional | $237.20 | $237.20 | $311.04 | |
United
| Professional | $115.54 | $226.28 | $276.73 |