| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $158.49 | $208.93 | |
BCBS
| Facility | $251.19 | $251.19 | $251.19 | |
BCBS
| Professional | $251.19 | $251.19 | $275.42 | |
Cigna
| Professional | $91.20 | $91.20 | $371.54 | |
Health Alliance Plan
| Professional | $134.90 | $186.21 | $239.88 | |
Priority Health
| Professional | $91.20 | $91.20 | $309.03 | |
United
| Professional | $74.13 | $117.49 | $169.82 |