| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.57 | $83.63 | $97.55 | |
BCBS
| Professional | $96.51 | $105.65 | $137.15 | |
Cigna
| Professional | $89.28 | $89.28 | $117.26 | |
Health Alliance Plan
| Professional | $67.64 | $104.23 | $145.16 | |
Molina
| Professional | $81.79 | $101.32 | $141.24 | |
United
| Professional | $89.65 | $114.93 | $159.36 |