| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.14 | $134.90 | $134.90 | |
BCBS
| Professional | $167.00 | $182.82 | $237.32 | |
Cigna
| Professional | $75.51 | $117.63 | $515.07 | |
Health Alliance Plan
| Professional | $80.01 | $105.85 | $147.82 | |
Molina
| Professional | $108.90 | $134.77 | $188.01 | |
United
| Professional | $83.81 | $98.84 | $135.97 |