| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $190.55 | $263.03 | |
BCBS
| Professional | $114.82 | $218.78 | $275.42 | |
Cigna
| Professional | $138.04 | $204.17 | $323.59 | |
Medcost
| Professional | $323.59 | $323.59 | $323.59 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $117.49 | $194.98 | $323.59 |