| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.04 | $206.31 | $206.31 | |
BCBS
| Professional | $52.52 | $239.84 | $301.32 | |
Cigna
| Professional | $170.79 | $325.58 | $436.42 | |
Health Alliance Plan
| Professional | $170.04 | $195.06 | $269.16 | |
Molina
| Professional | $34.36 | $148.79 | $223.19 | |
United
| Professional | $183.08 | $218.87 | $298.19 |