| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $223.87 | $371.54 | |
BCBS
| Professional | $125.89 | $302.00 | $302.00 | |
Cigna
| Professional | $123.03 | $204.17 | $371.54 | |
Health Alliance Plan
| Professional | $134.90 | $257.04 | $389.05 | |
Priority Health
| Professional | $138.04 | $204.17 | $371.54 | |
United
| Professional | $141.25 | $218.78 | $346.74 |