| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.82 | $167.69 | $276.70 | |
BCBS
| Professional | $28.11 | $107.46 | $206.66 | |
Cigna
| Professional | $110.30 | $205.34 | $427.81 | |
Health Alliance Plan
| Professional | $140.24 | $238.71 | $314.00 | |
Molina
| Professional | $163.31 | $203.09 | $291.99 | |
United
| Professional | $206.83 | $277.31 | $363.48 |