| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.15 | $69.64 | $119.93 | |
BCBS
| Professional | $70.97 | $78.44 | $100.85 | |
Cigna
| Professional | $43.45 | $76.56 | $117.15 | |
Health Alliance Plan
| Professional | $60.66 | $97.89 | $134.00 | |
Molina
| Professional | $81.79 | $102.24 | $141.24 | |
United
| Professional | $90.22 | $109.57 | $136.22 |