| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $1,371.00 | |
Aetna
| Professional | $0.02 | $4,208.00 | $5,877.02 | |
BCBS
| Facility | $843.84 | $843.84 | $888.25 | |
BCBS
| Professional | $843.84 | $888.25 | $988.00 | |
Cigna
| Professional | $418.22 | $914.00 | $2,056.50 | |
Health Alliance Plan
| Facility | $0.02 | $0.02 | $877.44 | |
Health Alliance Plan
| Professional | $877.44 | $877.44 | $1,184.54 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $383.88 | $548.40 | $914.00 |