| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $169.82 | $245.47 | |
BCBS
| Professional | $173.78 | $239.88 | $257.04 | |
Cigna
| Professional | $147.91 | $239.88 | $407.38 | |
Health Alliance Plan
| Professional | $151.36 | $181.97 | $245.47 | |
Priority Health
| Professional | $147.91 | $190.55 | $407.38 | |
United
| Professional | $173.78 | $208.93 | $281.84 |