| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.36 | $72.19 | $102.84 | |
BCBS
| Professional | $16.68 | $64.39 | $104.92 | |
Cigna
| Professional | $45.32 | $74.25 | $234.51 | |
Health Alliance Plan
| Professional | $53.77 | $80.29 | $113.04 | |
Molina
| Professional | $27.79 | $34.19 | $49.49 | |
United
| Professional | $92.69 | $111.03 | $141.86 |