| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.91 | $190.55 | $275.42 | |
BCBS
| Professional | $213.80 | $269.15 | $288.40 | |
Cigna
| Professional | $165.96 | $275.42 | $446.68 | |
Health Alliance Plan
| Professional | $169.82 | $204.17 | $263.03 | |
Priority Health
| Professional | $162.18 | $208.93 | $446.68 | |
United
| Professional | $181.97 | $218.78 | $295.12 |