| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.36 | $70.90 | $120.18 | |
BCBS
| Professional | $53.19 | $61.00 | $111.21 | |
Cigna
| Professional | $46.97 | $78.48 | $138.09 | |
Medcost
| Professional | $122.76 | $122.76 | $122.76 | |
Molina
| Professional | $27.49 | $35.58 | $48.51 | |
United
| Professional | $74.02 | $97.88 | $150.88 |