| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.30 | $79.25 | $139.10 | |
BCBS
| Professional | $72.09 | $94.64 | $121.68 | |
Cigna
| Professional | $50.45 | $89.70 | $134.86 | |
Health Alliance Plan
| Professional | $60.32 | $110.54 | $147.28 | |
Molina
| Professional | $81.79 | $102.24 | $141.24 | |
United
| Professional | $102.00 | $127.40 | $154.29 |