| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.00 | $10.47 | $10.96 |
Aetna
| Professional | $64.57 | $79.43 | $100.00 | |
BCBS
| Professional | $114.82 | $120.23 | $128.82 | |
Cigna
| Professional | $67.61 | $109.65 | $181.97 | |
Health Alliance Plan
| Facility | 26 | $7.76 | $18.20 | $21.38 |
Health Alliance Plan
| Professional | $60.26 | $81.28 | $114.82 | |
Priority Health
| Professional | $72.44 | $85.11 | $181.97 | |
United
| Professional | $75.86 | $89.13 | $120.23 |