| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $53.70 | $64.57 | |
BCBS
| Facility | $67.61 | $67.61 | $67.61 | |
BCBS
| Professional | $64.57 | $67.61 | $77.62 | |
Cigna
| Professional | $32.36 | $32.36 | $100.00 | |
Health Alliance Plan
| Professional | $40.74 | $53.70 | $67.61 | |
Priority Health
| Professional | $32.36 | $32.36 | $83.18 | |
United
| Professional | $26.30 | $31.62 | $47.86 |