| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.65 | $497.71 | $547.48 | |
BCBS
| Facility | $653.64 | $653.64 | $653.64 | |
BCBS
| Professional | $620.96 | $686.32 | $882.41 | |
Cigna
| Professional | $282.08 | $282.08 | $947.34 | |
Health Alliance Plan
| Professional | $242.65 | $485.12 | $575.38 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $229.56 | $301.50 | $432.90 |