| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,202.26 | $1,202.26 | $1,202.26 | |
BCBS
| Facility | $870.96 | $870.96 | $891.25 | |
BCBS
| Professional | $851.14 | $891.25 | $933.25 | |
Cigna
| Professional | $616.60 | $616.60 | $616.60 | |
Health Alliance Plan
| Professional | $1,202.26 | $1,202.26 | $2,137.96 | |
United
| Facility | $954.99 | $954.99 | $954.99 |