| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.10 | $53.12 | $66.37 | |
BCBS
| Professional | $74.83 | $82.71 | $98.46 | |
Cigna
| Professional | $43.72 | $63.46 | $158.93 | |
Health Alliance Plan
| Professional | $43.10 | $53.54 | $65.39 | |
Molina
| Professional | $26.94 | $33.15 | $47.38 | |
United
| Professional | $48.93 | $61.06 | $79.31 |