| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.03 | $7,585.78 | $9,549.93 | |
Aetna
| Professional | $3,801.89 | $5,128.61 | $16,218.10 | |
Cigna
| Professional | $3,467.37 | $3,467.37 | $3,467.37 | |
Health Alliance Plan
| Facility | $6.03 | $4,677.35 | $9,549.93 | |
Health Alliance Plan
| Professional | $3,801.89 | $5,128.61 | $16,218.10 | |
Priority Health
| Professional | $3,467.37 | $3,467.37 | $3,467.37 |