| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.32 | $109.04 | $148.69 | |
BCBS
| Professional | $23.87 | $118.49 | $167.95 | |
Cigna
| Professional | $81.20 | $119.08 | $394.21 | |
Health Alliance Plan
| Professional | $103.89 | $130.22 | $163.10 | |
Molina
| Professional | $81.79 | $101.32 | $141.24 | |
United
| Professional | $114.86 | $143.31 | $188.87 |