| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.61 | $263.52 | $263.52 | |
BCBS
| Professional | $316.02 | $349.28 | $449.08 | |
Cigna
| Professional | $198.79 | $198.79 | $1,059.60 | |
Health Alliance Plan
| Professional | $213.52 | $261.79 | $327.45 | |
Molina
| Professional | $188.63 | $228.01 | $310.38 | |
United
| Professional | $177.12 | $266.79 | $349.43 |