| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.54 | $48.16 | $56.38 | |
BCBS
| Professional | $69.54 | $76.86 | $91.50 | |
Cigna
| Professional | $38.78 | $65.56 | $176.85 | |
Health Alliance Plan
| Professional | $45.18 | $51.68 | $67.77 | |
Molina
| Professional | $54.68 | $67.25 | $93.71 | |
United
| Professional | $29.12 | $53.05 | $73.89 |