| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.79 | $276.79 | $431.79 | |
Aetna
| Professional | $250.57 | $276.79 | $276.79 | |
BCBS
| Facility | $237.75 | $332.46 | $578.84 | |
Cigna
| Professional | $133.24 | $173.96 | $443.98 | |
Health Alliance Plan
| Facility | $276.79 | $276.79 | $508.60 | |
Health Alliance Plan
| Professional | $276.79 | $279.70 | $349.63 | |
Molina
| Professional | $241.24 | $265.36 | $434.23 | |
United
| Professional | $122.37 | $174.82 | $291.36 |