| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $70.79 | $87.10 | |
BCBS
| Professional | $112.20 | $117.49 | $123.03 | |
Cigna
| Professional | $69.18 | $69.18 | $131.83 | |
Health Alliance Plan
| Professional | $63.10 | $79.43 | $107.15 | |
Priority Health
| Professional | $69.18 | $69.18 | $131.83 | |
United
| Professional | $77.62 | $93.33 | $117.49 |