| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $173.78 | $194.98 | |
BCBS
| Professional | $245.47 | $257.04 | $269.15 | |
Cigna
| Professional | $154.88 | $154.88 | $281.84 | |
Health Alliance Plan
| Professional | $151.36 | $177.83 | $234.42 | |
Priority Health
| Professional | $154.88 | $154.88 | $281.84 | |
United
| Professional | $165.96 | $199.53 | $251.19 |