| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.64 | $178.53 | $317.24 | |
BCBS
| Professional | $36.93 | $128.44 | $244.63 | |
Cigna
| Professional | $131.26 | $222.26 | $474.43 | |
Health Alliance Plan
| Professional | $158.69 | $228.55 | $347.10 | |
Molina
| Professional | $30.56 | $192.13 | $291.26 | |
United
| Professional | $212.85 | $278.89 | $395.22 |