| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.01 | $155.88 | $155.88 | |
BCBS
| Professional | $196.33 | $206.66 | $206.66 | |
Cigna
| Professional | $174.16 | $300.49 | $385.74 | |
Health Alliance Plan
| Professional | $129.12 | $180.77 | $245.77 | |
Molina
| Professional | $115.47 | $135.10 | $164.11 | |
United
| Professional | $143.85 | $183.97 | $275.14 |