| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.50 | $143.06 | $143.06 | |
BCBS
| Professional | $174.10 | $192.42 | $247.40 | |
Cigna
| Professional | $109.51 | $109.51 | $444.29 | |
Health Alliance Plan
| Professional | $117.61 | $117.92 | $157.33 | |
Molina
| Professional | $107.78 | $130.29 | $177.36 | |
United
| Professional | $108.45 | $145.00 | $214.31 |