| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.00 | $58.00 | $58.00 | |
Cigna
| Professional | $51.00 | $51.00 | $51.00 | |
Health Alliance Plan
| Professional | $39.02 | $39.02 | $56.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |