| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $81.28 | $109.65 | |
BCBS
| Professional | $95.50 | $102.33 | $107.15 | |
Cigna
| Professional | $89.13 | $89.13 | $117.49 | |
Health Alliance Plan
| Professional | $66.07 | $104.71 | $144.54 | |
Priority Health
| Professional | $77.62 | $89.13 | $117.49 | |
United
| Professional | $70.79 | $97.72 | $134.90 |