| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $371.54 | $676.08 | |
Aetna
| Professional | $257.04 | $331.13 | $467.74 | |
BCBS
| Facility | $275.42 | $275.42 | $275.42 | |
BCBS
| Professional | $263.03 | $275.42 | $275.42 | |
Cigna
| Professional | $446.68 | $478.63 | $588.84 | |
Health Alliance Plan
| Facility | $371.54 | $371.54 | $933.25 | |
Health Alliance Plan
| Professional | $323.59 | $380.19 | $524.81 | |
Priority Health
| Professional | $446.68 | $446.68 | $478.63 | |
United
| Facility | $165.96 | $354.81 | $467.74 | |
United
| Professional | $165.96 | $234.42 | $251.19 |