| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $724.44 | $1,318.26 | |
Aetna
| Professional | $512.86 | $645.65 | $912.01 | |
BCBS
| Facility | $537.03 | $537.03 | $537.03 | |
BCBS
| Professional | $501.19 | $537.03 | $537.03 | |
Cigna
| Professional | $831.76 | $831.76 | $1,047.13 | |
Health Alliance Plan
| Facility | $724.44 | $724.44 | $1,819.70 | |
Health Alliance Plan
| Professional | $616.60 | $758.58 | $1,023.29 | |
Priority Health
| Professional | $831.76 | $831.76 | $831.76 | |
United
| Facility | $691.83 | $758.58 | $912.01 | |
United
| Professional | $316.23 | $457.09 | $758.58 |