| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.69 | $289.06 | $399.09 | |
BCBS
| Professional | $57.32 | $231.78 | $530.99 | |
Cigna
| Professional | $213.10 | $313.39 | $551.91 | |
Health Alliance Plan
| Professional | $283.86 | $332.79 | $492.35 | |
Molina
| Professional | $33.64 | $192.46 | $333.39 | |
United
| Professional | $318.91 | $389.20 | $526.38 |