| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.60 | $123.39 | $137.69 | |
BCBS
| Professional | $164.93 | $183.26 | $229.08 | |
Cigna
| Professional | $109.51 | $135.00 | $315.68 | |
Health Alliance Plan
| Professional | $114.62 | $128.15 | $155.88 | |
Molina
| Professional | $82.15 | $101.35 | $144.16 | |
United
| Professional | $120.64 | $146.09 | $178.50 |