| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $491.85 | $699.01 | |
BCBS
| Professional | $29.36 | $38.54 | $49.55 | |
Cigna
| Professional | $137.88 | $137.88 | $137.88 | |
Health Alliance Plan
| Professional | $33.67 | $40.92 | $699.01 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $71.14 | $86.94 | $605.60 |