| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $100.00 | $125.89 | |
BCBS
| Facility | $125.89 | $125.89 | $125.89 | |
BCBS
| Professional | $120.23 | $125.89 | $141.25 | |
Cigna
| Professional | $57.54 | $57.54 | $186.21 | |
Health Alliance Plan
| Professional | $75.86 | $102.33 | $128.82 | |
Priority Health
| Professional | $57.54 | $57.54 | $154.88 | |
United
| Professional | $46.77 | $58.88 | $85.11 |