| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $549.54 | $891.25 | |
Aetna
| Professional | $316.23 | $316.23 | $446.68 | |
BCBS
| Facility | $389.05 | $676.08 | $1,621.81 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
Health Alliance Plan
| Facility | $331.13 | $630.96 | $891.25 | |
Health Alliance Plan
| Professional | $316.23 | $316.23 | $446.68 | |
Priority Health
| Professional | $52.48 | $52.48 | $52.48 | |
United
| Facility | $281.84 | $354.81 | $1,122.02 |