| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $93.33 | $199.53 | |
BCBS
| Professional | $15.49 | $75.86 | $75.86 | |
Cigna
| Professional | $48.98 | $81.28 | $165.96 | |
Health Alliance Plan
| Professional | $52.48 | $120.23 | $194.98 | |
Priority Health
| Professional | $43.65 | $79.43 | $165.96 | |
United
| Professional | $54.95 | $83.18 | $131.83 |