| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.29 | $191.76 | $223.37 | |
BCBS
| Professional | $277.88 | $308.75 | $385.94 | |
Cigna
| Professional | $184.50 | $184.50 | $355.33 | |
Health Alliance Plan
| Professional | $172.19 | $222.21 | $254.24 | |
Molina
| Professional | $164.30 | $202.70 | $288.32 | |
United
| Professional | $214.97 | $248.91 | $316.79 |