| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.24 | $122.06 | $221.97 | |
BCBS
| Professional | $24.18 | $88.88 | $162.54 | |
Cigna
| Professional | $97.34 | $172.54 | $335.26 | |
Health Alliance Plan
| Professional | $114.42 | $158.41 | $241.27 | |
Molina
| Professional | $163.31 | $203.09 | $291.99 | |
United
| Professional | $157.74 | $200.53 | $284.92 |