| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.30 | $146.27 | $180.78 | |
BCBS
| Professional | $29.46 | $113.73 | $192.75 | |
Cigna
| Professional | $107.81 | $157.50 | $234.85 | |
Health Alliance Plan
| Professional | $141.16 | $146.27 | $225.02 | |
Molina
| Professional | $109.81 | $136.69 | $195.77 | |
United
| Professional | $155.30 | $190.94 | $238.77 |