| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $42.66 | $79.43 | |
BCBS
| Professional | $44.67 | $61.66 | $66.07 | |
Cigna
| Professional | $37.15 | $77.62 | $125.89 | |
Health Alliance Plan
| Professional | $38.90 | $50.12 | $74.13 | |
Priority Health
| Professional | $36.31 | $48.98 | $95.50 | |
United
| Professional | $42.66 | $66.07 | $239.88 |