| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.74 | $169.36 | $169.36 | |
BCBS
| Professional | $214.78 | $237.38 | $305.20 | |
Cigna
| Professional | $135.10 | $135.10 | $566.77 | |
Health Alliance Plan
| Professional | $143.69 | $152.36 | $192.71 | |
Molina
| Professional | $134.73 | $162.86 | $221.70 | |
United
| Professional | $122.80 | $180.12 | $237.05 |