| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $52.48 | $61.66 | |
BCBS
| Facility | $77.62 | $77.62 | $77.62 | |
BCBS
| Professional | $74.13 | $77.62 | $87.10 | |
Cigna
| Professional | $29.51 | $29.51 | $114.82 | |
Health Alliance Plan
| Professional | $42.66 | $57.54 | $72.44 | |
Priority Health
| Professional | $29.51 | $29.51 | $95.50 | |
United
| Professional | $23.99 | $35.48 | $52.48 |