| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.04 | $143.04 | $446.29 | |
Aetna
| Professional | $143.04 | $143.04 | $143.04 | |
BCBS
| Facility | $136.07 | $245.13 | $457.46 | |
Cigna
| Professional | $84.66 | $151.97 | $151.97 | |
Health Alliance Plan
| Facility | $143.04 | $178.80 | $398.01 | |
Health Alliance Plan
| Professional | $143.04 | $157.94 | $189.52 |