| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.92 | $33.02 | $40.89 | |
BCBS
| Professional | $54.87 | $60.65 | $72.20 | |
Cigna
| Professional | $24.33 | $43.24 | $118.46 | |
Health Alliance Plan
| Professional | $23.16 | $34.35 | $45.38 | |
Molina
| Professional | $26.52 | $33.15 | $47.52 | |
United
| Professional | $19.00 | $29.69 | $49.14 |