| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.72 | $22.84 | $25.46 | |
BCBS
| Professional | $30.28 | $33.46 | $39.84 | |
Cigna
| Professional | $16.23 | $38.88 | $102.75 | |
Health Alliance Plan
| Professional | $20.95 | $23.95 | $30.09 | |
Molina
| Professional | $13.63 | $13.63 | $75.00 | |
United
| Professional | $20.22 | $24.85 | $35.84 |