| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.71 | $28.49 | $192.00 | |
Cigna
| Professional | $33.75 | $35.78 | $42.86 | |
Health Alliance Plan
| Professional | $27.94 | $33.02 | $48.24 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $28.91 | $35.90 | $52.02 |