| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.98 | $172.25 | $346.10 | |
BCBS
| Professional | $31.41 | $197.59 | $318.69 | |
Cigna
| Professional | $123.93 | $185.83 | $374.97 | |
Health Alliance Plan
| Professional | $153.88 | $233.66 | $363.40 | |
Molina
| Professional | $30.79 | $192.79 | $293.64 | |
United
| Professional | $223.52 | $285.02 | $425.55 |