| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,093.52 | $2,326.13 | $3,628.76 | |
Aetna
| Professional | $600.00 | $2,326.13 | $2,361.19 | |
BCBS
| Facility | $1,914.28 | $2,744.71 | $4,864.49 | |
BCBS
| Professional | $1,744.60 | $1,836.42 | $1,964.97 | |
Cigna
| Professional | $939.41 | $2,448.56 | $3,517.21 | |
Health Alliance Plan
| Facility | $566.46 | $2,326.13 | $4,274.26 | |
Health Alliance Plan
| Professional | $566.46 | $634.42 | $2,938.27 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $252.88 | $602.10 | $1,469.14 |