| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.56 | $143.43 | $151.66 | |
BCBS
| Professional | $174.10 | $192.42 | $247.40 | |
Cigna
| Professional | $109.51 | $109.51 | $502.40 | |
Health Alliance Plan
| Professional | $117.61 | $117.63 | $158.80 | |
Molina
| Professional | $107.78 | $130.29 | $177.36 | |
United
| Professional | $118.97 | $149.03 | $214.29 |