| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $2,041.74 | $4,897.79 | |
Aetna
| Professional | $89.13 | $144.54 | $229.09 | |
BCBS
| Facility | $147.91 | $147.91 | $147.91 | |
BCBS
| Professional | $29.51 | $147.91 | $158.49 | |
Cigna
| Professional | $93.33 | $151.36 | $281.84 | |
Health Alliance Plan
| Facility | $208.93 | $2,041.74 | $4,897.79 | |
Health Alliance Plan
| Professional | $100.00 | $169.82 | $263.03 | |
Priority Health
| Professional | $83.18 | $141.25 | $245.47 | |
United
| Facility | $537.03 | $1,778.28 | $4,073.80 | |
United
| Professional | $104.71 | $162.18 | $229.09 |