| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.25 | $27.18 | $31.82 | |
BCBS
| Professional | $36.26 | $38.72 | $48.40 | |
Cigna
| Professional | $26.36 | $51.40 | $112.14 | |
Health Alliance Plan
| Professional | $25.11 | $34.45 | $43.38 | |
Molina
| Professional | $54.68 | $66.98 | $93.71 | |
United
| Professional | $29.78 | $33.44 | $39.70 |