| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.01 | $382.01 | $603.17 | |
Aetna
| Professional | $345.82 | $382.01 | $382.01 | |
BCBS
| Facility | $326.20 | $454.86 | $798.88 | |
BCBS
| Professional | $286.51 | $301.58 | $322.70 | |
Cigna
| Professional | $203.77 | $329.62 | $559.39 | |
Health Alliance Plan
| Facility | $382.01 | $420.74 | $701.94 | |
Health Alliance Plan
| Professional | $382.01 | $515.67 | $663.30 | |
Molina
| Professional | $332.96 | $366.25 | $449.49 | |
United
| Professional | $168.89 | $329.16 | $548.60 |