| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.36 | $197.59 | $197.59 | |
BCBS
| Professional | $239.86 | $265.10 | $340.85 | |
Cigna
| Professional | $150.88 | $150.88 | $644.40 | |
Health Alliance Plan
| Professional | $162.16 | $163.08 | $217.56 | |
Molina
| Professional | $134.73 | $162.86 | $221.70 | |
United
| Professional | $144.41 | $200.02 | $260.01 |