| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $38.02 | $87.10 | |
BCBS
| Professional | $66.07 | $69.18 | $74.13 | |
Cigna
| Professional | $41.69 | $41.69 | $151.36 | |
Health Alliance Plan
| Professional | $33.88 | $48.98 | $75.86 | |
Priority Health
| Professional | $41.69 | $41.69 | $223.87 | |
United
| Professional | $33.11 | $47.86 | $295.12 |