| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $69.18 | $114.82 | |
BCBS
| Professional | $46.77 | $46.77 | $51.29 | |
Cigna
| Professional | $25.12 | $69.18 | $190.55 | |
Health Alliance Plan
| Professional | $26.92 | $87.10 | $128.82 | |
Priority Health
| Professional | $25.70 | $69.18 | $134.90 | |
United
| Professional | $31.62 | $53.70 | $114.82 |