| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.48 | $54.60 | $98.71 | |
BCBS
| Professional | $39.84 | $52.29 | $67.23 | |
Cigna
| Professional | $27.29 | $60.49 | $93.44 | |
Health Alliance Plan
| Professional | $39.81 | $75.94 | $108.17 | |
Molina
| Professional | $30.00 | $30.00 | $96.23 | |
United
| Professional | $71.86 | $87.60 | $109.63 |