| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $239.88 | $426.58 | |
BCBS
| Professional | $42.66 | $199.53 | $346.74 | |
Cigna
| Professional | $173.78 | $275.42 | $954.99 | |
Health Alliance Plan
| Professional | $190.55 | $295.12 | $416.87 | |
Priority Health
| Professional | $169.82 | $257.04 | $831.76 | |
United
| Professional | $208.93 | $269.15 | $371.54 |