| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $400.67 | $515.00 | |
BCBS
| Facility | $250.00 | $417.00 | $612.00 | |
Cigna
| Facility | $488.01 | $698.99 | $817.00 | |
Health Alliance Plan
| Facility | $290.00 | $422.28 | $685.00 |