| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $114.82 | $213.80 | |
Aetna
| Professional | $85.11 | $104.71 | $186.21 | |
BCBS
| Facility | $91.20 | $138.04 | $245.47 | |
BCBS
| Professional | $87.10 | $91.20 | $91.20 | |
Cigna
| Professional | $61.66 | $85.11 | $263.03 | |
Health Alliance Plan
| Facility | $114.82 | $114.82 | $213.80 | |
Health Alliance Plan
| Professional | $100.00 | $141.25 | $190.55 | |
Priority Health
| Professional | $60.26 | $72.44 | $169.82 | |
United
| Facility | $109.65 | $123.03 | $147.91 | |
United
| Professional | $51.29 | $91.20 | $151.36 |