| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.65 | $197.51 | $296.52 | |
BCBS
| Professional | $31.82 | $115.88 | $198.30 | |
Cigna
| Professional | $122.78 | $213.47 | $442.25 | |
Health Alliance Plan
| Professional | $150.44 | $221.34 | $356.51 | |
Molina
| Professional | $30.56 | $161.25 | $247.53 | |
United
| Professional | $219.69 | $284.18 | $371.67 |