| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.34 | $172.60 | $193.71 | |
BCBS
| Professional | $232.16 | $257.95 | $322.45 | |
Cigna
| Professional | $154.15 | $189.75 | $445.26 | |
Health Alliance Plan
| Professional | $161.38 | $177.88 | $219.47 | |
Molina
| Professional | $136.75 | $168.71 | $238.83 | |
United
| Professional | $175.01 | $202.86 | $251.11 |