| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $393.89 | $530.89 | $802.74 | |
BCBS
| Professional | $100.23 | $560.13 | $884.42 | |
Cigna
| Professional | $323.20 | $477.07 | $850.27 | |
Health Alliance Plan
| Professional | $511.93 | $565.12 | $802.74 | |
Molina
| Professional | $33.77 | $388.29 | $653.68 | |
United
| Professional | $545.94 | $659.82 | $862.83 |