| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.89 | $62.17 | $62.17 | |
BCBS
| Professional | $28.76 | $106.07 | $117.98 | |
Cigna
| Professional | $30.83 | $64.92 | $112.34 | |
Health Alliance Plan
| Professional | $62.17 | $70.54 | $121.00 | |
Molina
| Professional | $52.34 | $64.69 | $81.31 | |
United
| Professional | $39.61 | $67.63 | $92.46 |