| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.61 | $59.22 | $152.75 | |
BCBS
| Professional | $43.99 | $46.31 | $49.53 | |
Cigna
| Professional | $51.72 | $83.44 | $105.09 | |
Health Alliance Plan
| Professional | $33.40 | $55.74 | $152.75 | |
Molina
| Professional | $28.86 | $33.77 | $41.02 | |
United
| Professional | $38.11 | $58.65 | $78.34 |