| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $41.69 | $50.12 | |
Aetna
| Professional | $30.20 | $41.69 | $57.54 | |
BCBS
| Professional | $63.10 | $72.44 | $89.13 | |
CareSource
| Facility | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $60.26 | $60.26 | $102.33 | |
Health Alliance Plan
| Professional | $33.88 | $45.71 | $61.66 | |
Priority Health
| Professional | $60.26 | $60.26 | $81.28 | |
United
| Professional | $48.98 | $58.88 | $66.07 |