| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $48.98 | $81.28 | |
BCBS
| Professional | $23.44 | $61.66 | $85.11 | |
Cigna
| Professional | $30.20 | $50.12 | $81.28 | |
Medcost
| Professional | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $25.12 | $48.98 | $79.43 |