| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.62 | $148.24 | $276.97 | |
BCBS
| Professional | $21.31 | $83.78 | $138.59 | |
Cigna
| Professional | $85.82 | $175.99 | $409.23 | |
Health Alliance Plan
| Professional | $91.15 | $174.67 | $296.68 | |
Molina
| Professional | $162.82 | $202.06 | $291.43 | |
United
| Professional | $189.07 | $235.72 | $340.72 |