| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $112.20 | $131.83 | |
BCBS
| Professional | $190.55 | $199.53 | $199.53 | |
Cigna
| Professional | $104.71 | $141.25 | $407.38 | |
Health Alliance Plan
| Professional | $91.20 | $120.23 | $165.96 | |
Priority Health
| Professional | $104.71 | $141.25 | $346.74 | |
United
| Professional | $102.33 | $128.82 | $173.78 |