| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.00 | $174.45 | $322.39 | |
BCBS
| Professional | $34.29 | $170.17 | $317.64 | |
Cigna
| Professional | $113.93 | $198.43 | $375.01 | |
Health Alliance Plan
| Professional | $174.45 | $231.94 | $389.07 | |
Molina
| Professional | $30.79 | $170.07 | $278.72 | |
United
| Professional | $227.01 | $295.36 | $382.99 |