| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $194.98 | $323.59 | |
BCBS
| Professional | $120.23 | $194.98 | $204.17 | |
Cigna
| Professional | $125.89 | $208.93 | $645.65 | |
Health Alliance Plan
| Professional | $128.82 | $245.47 | $338.84 | |
Priority Health
| Professional | $125.89 | $190.55 | $575.44 | |
United
| Professional | $138.04 | $218.78 | $309.03 |