| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $851.14 | |
Aetna
| Professional | $144.54 | $398.11 | $457.09 | |
BCBS
| Facility | $338.84 | $338.84 | $338.84 | |
BCBS
| Professional | $323.59 | $338.84 | $338.84 | |
Cigna
| Professional | $588.84 | $588.84 | $741.31 | |
Health Alliance Plan
| Facility | $457.09 | $457.09 | $851.14 | |
Health Alliance Plan
| Professional | $199.53 | $309.03 | $575.44 | |
Priority Health
| Professional | $588.84 | $588.84 | $588.84 | |
United
| Facility | $288.40 | $478.63 | $478.63 | |
United
| Professional | $87.10 | $123.03 | $208.93 |