| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.58 | $313.63 | $429.85 | |
Aetna
| Professional | $255.55 | $335.55 | $560.00 | |
BCBS
| Facility | $399.28 | $719.29 | $1,360.69 | |
BCBS
| Professional | $312.64 | $312.64 | $329.09 | |
Cigna
| Professional | $259.70 | $368.58 | $368.58 | |
Health Alliance Plan
| Facility | $240.58 | $348.84 | $440.02 | |
Health Alliance Plan
| Professional | $258.54 | $344.35 | $534.11 | |
Molina
| Professional | $487.90 | $487.90 | $487.90 | |
United
| Professional | $329.09 | $394.76 | $406.85 |