| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $443.71 | $443.71 | $1,151.72 | |
BCBS
| Facility | $954.55 | $1,464.14 | $3,637.28 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Health Alliance Plan
| Professional | $443.71 | $832.00 | $1,624.00 | |
Molina
| Professional | $30.00 | $30.00 | $100.00 |