| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.44 | $487.44 | $492.22 | |
Aetna
| Professional | $477.89 | $492.22 | $654.45 | |
BCBS
| Facility | $134.44 | $134.44 | $134.44 | |
BCBS
| Professional | $127.73 | $139.83 | $181.51 | |
Cigna
| Professional | $125.25 | $818.96 | $1,115.78 | |
Health Alliance Plan
| Facility | $487.44 | $846.53 | $846.53 | |
Health Alliance Plan
| Professional | $487.44 | $846.53 | $1,058.16 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $703.72 | $869.30 | $1,130.26 |