| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.81 | $291.81 | $294.67 | |
Aetna
| Professional | $288.76 | $291.81 | $294.67 | |
Cigna
| Professional | $238.10 | $238.10 | $238.10 | |
Health Alliance Plan
| Facility | $195.93 | $195.93 | $291.81 | |
Health Alliance Plan
| Professional | $195.93 | $224.26 | $327.33 | |
United
| Professional | $234.60 | $259.67 | $330.48 |