| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $162.18 | $194.98 | |
BCBS
| Facility | $218.78 | $218.78 | $218.78 | |
BCBS
| Professional | $218.78 | $218.78 | $239.88 | |
Cigna
| Professional | $91.20 | $91.20 | $323.59 | |
Health Alliance Plan
| Professional | $131.83 | $165.96 | $208.93 | |
Priority Health
| Professional | $91.20 | $91.20 | $269.15 | |
United
| Professional | $74.13 | $100.00 | $144.54 |