| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $125.89 | $194.98 | |
BCBS
| Professional | $177.83 | $186.21 | $194.98 | |
Cigna
| Professional | $117.49 | $154.88 | $467.74 | |
Health Alliance Plan
| Professional | $117.49 | $141.25 | $194.98 | |
Priority Health
| Professional | $117.49 | $147.91 | $323.59 | |
United
| Professional | $123.03 | $147.91 | $199.53 |