| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.20 | $202.65 | $343.03 | |
BCBS
| Professional | $36.09 | $192.07 | $348.77 | |
Cigna
| Professional | $137.13 | $211.70 | $409.69 | |
Health Alliance Plan
| Professional | $172.06 | $269.45 | $429.89 | |
Molina
| Professional | $217.81 | $272.90 | $390.38 | |
United
| Professional | $269.32 | $324.72 | $455.50 |