| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $162.18 | $275.42 | |
BCBS
| Professional | $89.13 | $134.90 | $181.97 | |
Cigna
| Professional | $95.50 | $177.83 | $371.54 | |
Health Alliance Plan
| Professional | $89.13 | $169.82 | $251.19 | |
Priority Health
| Professional | $91.20 | $162.18 | $354.81 | |
United
| Professional | $95.50 | $158.49 | $257.04 |