| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.55 | $57.91 | $103.61 | |
BCBS
| Professional | $3.98 | $26.03 | $42.13 | |
Cigna
| Professional | $15.04 | $53.62 | $119.47 | |
Health Alliance Plan
| Professional | $20.30 | $69.76 | $107.14 | |
Molina
| Professional | $53.89 | $67.53 | $96.63 | |
United
| Professional | $76.98 | $90.96 | $145.96 |