| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.12 | $156.88 | $249.12 | |
BCBS
| Professional | $188.28 | $208.10 | $267.56 | |
Cigna
| Professional | $65.45 | $105.33 | $237.15 | |
Health Alliance Plan
| Professional | $154.55 | $192.15 | $288.42 | |
Molina
| Professional | $135.10 | $164.69 | $198.68 | |
United
| Professional | $107.40 | $188.74 | $547.14 |