| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.56 | $234.56 | $236.86 | |
Aetna
| Professional | $232.11 | $234.56 | $236.86 | |
Cigna
| Professional | $191.36 | $191.36 | $191.36 | |
Health Alliance Plan
| Facility | $179.77 | $179.77 | $234.56 | |
Health Alliance Plan
| Professional | $179.77 | $201.34 | $261.95 | |
United
| Professional | $200.78 | $249.08 | $379.03 |