| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $44.67 | $54.95 | |
BCBS
| Facility | $57.54 | $57.54 | $57.54 | |
BCBS
| Professional | $53.70 | $57.54 | $63.10 | |
Cigna
| Professional | $25.70 | $25.70 | $83.18 | |
Health Alliance Plan
| Professional | $33.88 | $45.71 | $56.23 | |
Priority Health
| Professional | $25.70 | $25.70 | $69.18 | |
United
| Professional | $20.89 | $26.92 | $39.81 |