| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.02 | $208.92 | $231.87 | |
BCBS
| Professional | $277.88 | $308.75 | $385.94 | |
Cigna
| Professional | $184.50 | $228.00 | $535.29 | |
Health Alliance Plan
| Professional | $193.70 | $219.87 | $264.72 | |
Molina
| Professional | $164.30 | $202.70 | $288.32 | |
United
| Professional | $215.86 | $250.50 | $310.20 |