| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.23 | $16.64 | $20.43 | |
BCBS
| Professional | $11.83 | $16.80 | $27.14 | |
Cigna
| Professional | $16.64 | $23.81 | $68.72 | |
Health Alliance Plan
| Professional | $15.25 | $16.89 | $21.67 | |
Molina
| Professional | $30.00 | $30.00 | $100.00 | |
United
| Professional | $15.77 | $20.45 | $28.12 |