| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.83 | $35.97 | $39.47 | |
BCBS
| Professional | $6.85 | $28.04 | $46.34 | |
Cigna
| Professional | $21.61 | $28.77 | $52.74 | |
Health Alliance Plan
| Professional | $28.24 | $34.74 | $42.54 | |
Molina
| Professional | $17.25 | $18.53 | $75.00 | |
United
| Professional | $29.29 | $34.67 | $48.11 |