| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $234.42 | $446.68 | |
BCBS
| Professional | $169.82 | $281.84 | $457.09 | |
Cigna
| Professional | $204.17 | $275.42 | $380.19 | |
Medcost
| Professional | $389.05 | $389.05 | $389.05 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $177.83 | $245.47 | $426.58 |