| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $15.85 | $18.20 | |
BCBS
| Professional | $23.44 | $25.12 | $26.92 | |
Cigna
| Professional | $14.79 | $18.20 | $26.92 | |
Health Alliance Plan
| Professional | $12.88 | $15.85 | $21.88 | |
Priority Health
| Professional | $14.79 | $18.20 | $27.54 | |
United
| Professional | $14.79 | $18.62 | $23.44 |