| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.49 | $480.91 | $4,933.00 | |
Aetna
| Professional | $232.12 | $336.57 | $492.31 | |
BCBS
| Facility | $494.47 | $576.33 | $780.83 | |
BCBS
| Professional | $66.11 | $369.47 | $486.15 | |
Cigna
| Professional | $224.23 | $365.38 | $1,070.42 | |
Health Alliance Plan
| Facility | $312.00 | $664.27 | $4,933.00 | |
Health Alliance Plan
| Professional | $283.73 | $398.46 | $600.04 | |
Molina
| Professional | $356.90 | $441.56 | $614.17 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 | |
United
| Professional | $371.58 | $449.60 | $590.11 |