| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.89 | $282.82 | $282.82 | |
Aetna
| Professional | $174.90 | $282.82 | $304.08 | |
BCBS
| Facility | $879.21 | $879.21 | $879.21 | |
BCBS
| Professional | $835.25 | $923.17 | $1,186.93 | |
Cigna
| Facility | $334.42 | $334.42 | $334.42 | |
Cigna
| Professional | $1,398.52 | $1,398.52 | $1,398.52 | |
Health Alliance Plan
| Facility | $84.90 | $264.89 | $282.82 | |
Health Alliance Plan
| Professional | $244.15 | $282.82 | $358.12 | |
United
| Professional | $287.19 | $333.70 | $497.21 |