| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $61.66 | $147.91 | |
BCBS
| Professional | $74.13 | $107.15 | $107.15 | |
Cigna
| Professional | $30.20 | $67.61 | $275.42 | |
Health Alliance Plan
| Professional | $57.54 | $79.43 | $112.20 | |
Priority Health
| Professional | $30.20 | $39.81 | $100.00 | |
United
| Professional | $39.81 | $66.07 | $93.33 |