| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.57 | $66.07 | $66.07 |
Aetna
| Professional | $173.78 | $218.78 | $512.86 | |
BCBS
| Professional | $218.78 | $309.03 | $331.13 | |
Cigna
| Professional | $194.98 | $309.03 | $512.86 | |
Health Alliance Plan
| Facility | 26 | $48.98 | $120.23 | $134.90 |
Health Alliance Plan
| Professional | $194.98 | $234.42 | $323.59 | |
Priority Health
| Professional | $190.55 | $239.88 | $512.86 | |
United
| Professional | $218.78 | $263.03 | $363.08 |