| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $141.25 | $165.96 | |
BCBS
| Facility | $204.17 | $204.17 | $204.17 | |
BCBS
| Professional | $194.98 | $204.17 | $229.09 | |
Cigna
| Professional | $81.28 | $81.28 | $302.00 | |
Health Alliance Plan
| Professional | $120.23 | $147.91 | $194.98 | |
Priority Health
| Professional | $81.28 | $81.28 | $251.19 | |
United
| Professional | $66.07 | $95.50 | $138.04 |