| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.35 | $67.14 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
BCBS
| Professional | $68.76 | $72.38 | $78.95 | |
Cigna
| Professional | $55.95 | $72.61 | $95.63 | |
Health Alliance Plan
| Professional | $63.35 | $110.55 | $140.06 | |
Health Alliance Plan
| Professional | 52 | $22.81 | $22.81 | $22.81 |
Molina
| Professional | $59.97 | $75.37 | $101.55 | |
United
| Professional | $29.60 | $70.56 | $148.46 |