| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $234.42 | $426.58 | |
Aetna
| Professional | $165.96 | $208.93 | $295.12 | |
BCBS
| Facility | $173.78 | $173.78 | $173.78 | |
BCBS
| Professional | $165.96 | $173.78 | $173.78 | |
Cigna
| Professional | $281.84 | $302.00 | $380.19 | |
Health Alliance Plan
| Facility | $234.42 | $234.42 | $588.84 | |
Health Alliance Plan
| Professional | $199.53 | $239.88 | $331.13 | |
Priority Health
| Professional | $281.84 | $281.84 | $302.00 | |
United
| Facility | $123.03 | $245.47 | $245.47 | |
United
| Professional | $104.71 | $147.91 | $158.49 |